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Be <br /> N <br /> (DSca e) <br /> j� .,.SCALE TO <br /> 1. Names of streets or roads nearest to or boundirope ty. <br /> 2. Outline of the property, giving dimensions and Northrecti n. <br /> 3. Dimensioned outlines and locations of all existinpose structures,including covered areas such as patios, <br /> driveways and walks. <br />` 4. Location of house sewer outlet, public sewer, disp sal system or proposed sewage disposal system, <br /> proposed expansion of sewage disposal systemother possible source of contamination. <br /> VC <br /> 5. Location of other wells within radius of.150 feeope y_or adjoining_prop@riy.6. Location of sewage disposal systemon adjoinirty within a radius of 150 feet. <br /> T:- I <br /> S <br /> I <br /> i - - <br /> i <br /> p <br />