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EXTERIOR ADDITION/ACCESSORY BUILDING <br />SITE PLAN FOR SEPTIC SYSTEM RECORD REVIEW <br /> <br />Property Owner: Activity No. <br />Site Address: Date: <br /> <br />SITE PLAN MUST BE DRAWN TO SCALE <br /> <br />SCALE: 1" = ft. <br /> <br />Please Show Septic tank: [1 Drainfield: .[.~.0..~.. Easements: ................ <br />all Details: Well: ~ Property Lines: 275 ' Excavations: fr.~v \ <br /> Buildings: ~ Ponds & Streams: ~ ..... -,, North Arrow: T <br /> Driveways: I I Direction of Slope: <br /> <br />I certify that the above site plan is an accurate representation of the conditions I found on <br />the property and accurately identifies the location of the septic system and proposed <br />development. <br /> <br />Drawn by: <br />Name:(print) <br /> (licensed installer, septic consultant or owner) <br /> <br />Signature: <br /> <br />MC15-S38 <br />REV 6/98 <br /> <br /> <br />