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BLOT PLAN <br /> (draw To Scale) <br /> SCALE " TO <br /> 1. Names of streets or roads nearest to or bounding the property. <br /> 2. Outline of the property, giving dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures,including covered areas such as patios, <br /> driveways and walks. <br /> 4. Location of house sewer outlet, pubic sewer, sewage disposal system or proposed sewage disposal system <br /> proposed expansion of sewage disposal system, or any other possible source of contamination. <br /> 5. Location of other wells within-radius of 150 feet on the property or adjoining property. <br /> B. Location of sewage disposal system on:adjoining property'or within a radius of 150,feet. <br /> � I � <br /> I { R I I <br /> i I , <br /> is I <br /> I I I I I I <br /> I <br /> I ! i <br /> I <br /> I <br /> I I <br /> I I <br /> i <br /> I <br /> I I <br /> i <br /> 1 <br /> i <br /> E <br /> i <br /> i <br /> i <br />