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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 blown. 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 />