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EXTERIOR ADDITION/ACCESSORY BUILDING <br />SiTE PLAN FOR SEPTIC SYSTEM RECORD REVIEW <br /> <br />Property Owner: <br />Site Address: <br /> <br />Activity No~~ <br />Date: _ <br /> <br />SITE PLAN MUST BE DRAWN TO SCALE <br /> <br />SCALE: 1"= fl. <br /> <br />Please Show Septic tank: [] Drainfield: _[.~-C2-'__. Easements: ................ <br />all Details: Well: ® Property Lines: 27S ' Excavations: <br /> Buildings: ~ Ponds & Slyeams: ~.. ~..~' North Arrow: 1 <br /> DriveWays: I ] Direction of Slope: <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 />devetopment. <br /> <br />Drawn by: <br />Name:(print) <br /> (licensed installer, septic consultant or owner) <br /> <br />Signatm-e: <br /> <br />MCI5-S38 <br />REV 6~g <br /> <br /> <br />