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EXTERIOR ADDITtONIACCESSORY BUILDING <br />SITE PLAN FOR SEPTIC SYSTEM RECORD REVIEW <br /> <br />Properly Owner: Activity No <br />Site Address: Date <br /> <br />SITE PLAN MUST BE DRAWN TO SCALE <br /> <br />SCALE:l"= ft. <br /> <br />Plea*e Show Septic tank: [3 Drainfield: _l..-O-C2'__. Easements: ................ <br />a~l Details: Well: ~ Propercy Lines: ~7S ' Excavations: <br /> Buitdi~ngs: ~ Ponds & Streams: (~>~-- ~_. ~' Nord~ Arrow: <br /> Driveways: [ J Direction of Slope: 12~/o'~ <br />1[ certify that the above site plan is an accurate representation of the conditions I found on <br />the property and accurately identifies the location of the septic syslem and proposed <br />development. <br /> <br /> (licensed installer, septic consulrfint or owner) <br /> <br />MCIS-S3g <br /> <br /> <br />