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_ t <br /> SITE PLAN FOR PROPOSED RESIDENTIAL DEVELOPMENT <br /> Site Address: , Iq'c r l &,OflO$. reftAisC& IV vb ok. 'q o li <br /> Gq/e0 A I oLoo qoo Total Acres '45.6 i <br /> TAXLOT <br /> ❑ Drawn to Scale: •168 Not Drawn to Scale -OR- 1 square= feet \ 1 ' <br /> • <br /> Wei( . • I <br /> . . . . . . . . . . . . . . . . . . . . . . . <br /> � <br /> . ,561 • • . . . . . . . • . . • . <br /> • <br /> • <br /> 8 z g I • . STATE CERTIFIED . . .� .. . . . . „�k,, <br /> 5" Ut m Cn �' -Waste Water Specialist <br /> N -A C) h1t CD To ' n . %. ,.473 -EH-W10147892 - '. • . / .A Tai <br /> o p o +`�� , ,�, ,7. Jos <br /> g m T Q - Kimberlee A.•AldrEch <br /> � <br /> mzX ; . . . y �6 19 oA; <br /> n D <br /> N4Z _ l --s• <br /> m a.S/I <br /> - . W. <br /> XI • • • ." - \-kot-A5e- - - - ,s c's' n <br /> . ,.., <br /> , 5/ —4' <br /> &-1Qv.= lO� tro _ <br /> j\itsi•b\\ • . on_ ._ <br /> mob° . . . . . . - 5'Vev . . . <br /> 4...?,) <br /> •I certify thatthe above information is accurate to the,best of my knowledge.I AM THE,[ ]Owner or[ ]Authorized Agent. X <br /> NAME(please print): .Y of k). S rdv Telephone#: V - p,7�0 —66 �' u , <br /> Applicant's Signature: Date: Ott "t I. <br /> 19G02 Pool 65 le fir /l • �_ <br /> Applicant's Mailing Address: Y! < <br /> y <br /> City:t�U b.7ar� Zip: - Applicant's email: CCC{5-611ouviinr) yahoo rn <br /> S-31-6-2020 G:\Forms\Septic\FORMS\S-31a SepticSystemSitePlanRequirements for SITE EVALS 2020-07-20.doc <br />