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D i[__,\ it V tc,a 1{t <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT . . APR <br /> P } 8 2023 ' _�_J <br /> Site Address: k).635 12,�a ,,,,Joaa KA -3,,,,. J'e-' ,t'sr+ r a k', MA Ili )N 42....00Iy11 Y <br /> ;?St Total Acres 1.7c E31... I.,IN(' lis,1 -i E&."1 i( )N <br /> TAXLOT <br /> CI Drawn to Scale: -a-Not Drawn to Scale -OR- 1 square= feet <br /> ' .q a.d0 . - . . <br /> reA- <br /> di.-to- s —50 ka-a&-oss 6p• Pro <br /> i F bra- & 5jk' wt•y z,- <br /> CO eit i QkeS <br /> • <br /> " SITE PLAN WA.fF,P,t.^••. . <br /> BY THE APPLICANTAND USI"` v.. <br /> • 'REVIEW OF THE EXISTING S€.tt' - ' <br /> SY,STEM.ACCURACY.OF THE S l-.i . . <br /> PLAN CANNOT Bpi GUAR AT-'-- '', <br /> . . . . . . . . . API5ROVEU•i-iiR Si.._:ATi . . . . . . - <br /> INSTALLATION ONLY"- . ' . . . . o <br /> • • . . . - . - • it i•s the responsibility of the <br /> '5 , . applicant to coordinate,these • , <br /> requirements with all others. <br /> -'`' . . <br /> . . . . . . . . . . . . STATE CERTIFIED' / . . . . . . . <br /> i _ Environmental Health Specialist .t . <br /> J • (. . . . .. . en�=�� EH-S-10227575 <br /> - {Aidan•Bammes • I • • • <br /> Q, <br /> .....e_ 57, 7t,.. \ <br /> a(,d O. P4'06 000.t 5 . . . . . . . . . a-0.ct .56. . . . . . <br /> 1 certify that the above intormstion is Accurate to the best of nay knowledge.1 AM THE I I Owner or M Authorized Agent. <br /> NAME(please print): a Telephone ft 54 1`q 14-o 2 E I <br /> Applicant's Signature: it Date:1'/r 0'_7 3 <br /> Applicant's Mailing Address: t 00 `T( five._ s C <br /> �f'f p ,{ Lt n l J <br /> City: rf�t Zip: `?13 i� Applicant`s email: fI B_ C /7 C `s'�' kJ _ z, , �{ <br /> S-31-6-2020 G:1Forms\Septic\FORMS\S-3Ia SepticSyslemSitePlanRequiremcnts fort SITE_EVALS_2020-07-20.doc <br /> ?li eq_c_. < )__ t - <br /> L <br />