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<br /> Oregon Department of Environmental Quality
<br /> Provide a Site Plan in the space below: Show the actual or best estimate measurements of components
<br /> that were confirmed during this evaluation; septic tank,soil absorption system,property lines(if known),
<br /> easements(if known), existing structures, driveways,and water supply(water lines and wells). Draw to
<br /> scale and indicate the direction north.
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<br /> Page 8 of 8
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