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Proper~y Owner:. <br />Site Address: <br /> <br /> EXTERIOR ADDITION/ACcF_~SORY BUILDING <br />SITE PLAN FOR SEPTIC SYSTEM RECORD REVIEW <br /> <br />SITE PLAN MUST BE DRAWN TO SCALE <br /> <br />SCALE: 1" = <br /> <br />__fi. <br /> <br />PIease Show Septic tank: [] Drainfield: _~..O_O__'.. Easements: ................ <br />all De~ls: Well: ~ Property Lines: 2 7-~ ' Excavations: ~ <br /> Buildings: ~ Ponds & SUeams: t:~2>----_..--- North Arrow: 1' <br /> Driveways: ] J Direction ofSl?pe: 12%~, <br /> IH <br />I certify that the above site phn 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: ~ ?/' , Ia_ <br /> <br /> (licensed installer, septi~nsul~t or owner) <br /> <br />MCIS-S3g <br />KEV 6/9g <br /> <br />Signature: <br /> <br /> <br />