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EXTERIOR ADDITION/ACCESSORY BUILDING <br /> SITE PLAN FOR SEPTIC SYSTEM RECORD REVIEW <br />Property Owner: ~/~ 7~/] ~ ~/~,Activi~y No. ~ ~ , <br /> <br />SITE PLAN MUST BE DRAWN TO SCALE <br /> <br />SCALE: 1" = ft. <br /> <br />Please Show Septic tank: [] Drainfield: .~..&~'... Easements: ................ <br />all Details: Well: ® Property Lines: ;2 ?S ' Excavations: f~'~ \ <br /> Buildings: ~ Ponds & Streams: C~2~-...~_..~' North Arrow: ~ <br /> Driveways: I ~ Direction of Slope: 12%'~ <br />I certify that the above site plan is an accurate representation of the conditions I found on <br />thc property, and accurately identifies the location of the septic system and proposed <br />development. <br /> <br />Name:(print) Signature: -~ I'~ ~O~[~ ~ <br /> (lice~i~staller, - - <br /> septic consultant or owner) <br /> <br />MC15-S35 <br />REV 6/98 <br /> <br /> <br />