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EXTERIOR ADDITION/ACCESSORY BUILDING <br />SITE PLAN FOR SEPTIC SYSTEM RECORD REVIEW <br /> <br />Activity No. <br /> <br />SITE PLAN MUST BE DRAWN TO SCALE <br /> <br />SCALE: 1" =__ ft. <br /> <br />Please Show Septic tank: D Dminfield: .t._~.O_'_.. Easements: ................ <br />all Details: Well: , ® Property Lines: <br /> Buildings: ~ Ponds & Streams: <br /> Driveways: I ~ Direct!on of Slope: <br />I certify that the above site plan is an accurate representation of the conditions I found on <br />the property and acct~rately 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 />MC 15 -$38 <br />REV 6/98 <br /> <br />Signature: <br /> <br /> <br />