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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 />Plea.se Show Septic tank: [] Drainfield: _~._C>_~_'._. Easements: ................ <br />all Details: Well: (~ Propemy Lines: 2 7S ' Excavations: ~'~ ¥' \ <br /> Buildings: ~ Ponds & Streams: ~:~2>---. ~.. <br /> Driveways: I ~ Direction of Slope: <br />i certify that the above site plan is an accurate representation of the conditions [ found on <br />the property and accurately identifies the location of the septic system and proposed <br />development. <br /> <br />Drawn by.'Y' <br />Nmne:(print) ~'~ ~'"~k [[ ~ Signature: <br /> (licensed instal[e~e~ic consultant or ox~ ncr) <br />MC15-S38 <br /> <br /> <br />