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50 <br /> USDA -Natural Resources Conservation Services Landowner Hazmat Interview <br /> C. Water and Wastewater <br /> 1. Does the property currently or has it ever been supplied by an onsite drinking water supply well? If yes, <br /> provide the well locations and construction dates. Yes ❑ No ❑Unknown❑ <br /> a) Have contaminants ever been identified in the onsite drinking water well or the water system that <br /> exceeded acceptable levels? If yes, describe the contamination and indicate the dates, contaminant <br /> levels and the source of the contamination, if known. Yes ❑ No ❑N/A ❑ Unknown❑ <br /> b) If an onsite drinking water well is no longer used,has it been properly abandoned according to <br /> applicable regulatory requirements? If yes,indicate the date the well was abandoned. <br /> Yes ❑ No ❑N/A ❑ Unknown❑ <br /> 2. Has the property ever had an onsite wastewater treatment and disposal systems (e.g., septic systems or sewage <br /> lagoons). If yes,please describe of the system, including the locations, size, date constructed, and which <br /> buildings discharge to the system. Yes ❑ No ❑Unknown ❑ <br /> a) If the onsite wastewater treatment and disposal system is no longer used,has it been closed? If yes, <br /> describe method of closure and date closed. Yes ❑ No ❑N/A ❑ Unknown❑ <br /> 3. Does the property have any monitoring wells? If yes, explain the purpose of the wells and provide the <br /> locations, dates of construction, and any analytical results. Yes ❑ No ❑Unknown ❑ <br /> a) If the monitoring wells are no longer used,were they properly abandoned according to applicable <br /> regulatory requirements? If yes,indicate the date the well was abandoned. <br /> Yes ❑ No ❑N/A ❑ Unknown❑ <br /> 4. Does the property have surface water(e.g.,pits,ponds, lagoons,rivers, creeks, or oceans)? If yes, describe <br /> the locations and type of surface water. Yes ❑ No ❑Unknown ❑ <br /> a) If the property has surface water, are you aware of any unnatural characteristics such as color, sheens, <br /> odors, or sterility? If yes,please describe and indicate whether the situation is new or pre-existing. <br /> Yes ❑ No ❑N/A ❑Unknown ❑ <br /> 7 <br />