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STATE OF OREGON <br />DEPARTMENT OF ENVIRONMENTAL QUALITY <br /> <br />REPORT OF EVALUATION FOR ONE LOT <br /> ON-SITE SEWAGE SYSTEMS <br /> <br />The Entire Property ~ <br /> ~'Has Not <br /> <br />Been Evaluated <br /> <br />For Office Use Only <br /> <br />PLOT PLAN OF APPROVABLE AREA: <br /> <br />Any alteration of the n~tural conditious in the area approved for the on-site system or replacement area may void this <br />approval. <br />This approval is given on the basis that the lot or parcel described above will not be further partitioned or subdivided and <br />that conditions on subject or adjacent properties have not been altered in any manner which would prohibit issuance of a <br />permit in accordance with O.R.S. 454.605 through 454.755 and Administrative Rules of the Envirorrmental Quality <br />Commission. Any such subdivision, partitioning or alteration may void this report. <br /> <br />The site ha~s been found suitable for installation of the followin~ kinds of on-site ~wage disposal systems, with the <br />  ent indi · <br />limitation a d~addi l req <br /> <br />WARNING: This document is a technical repor~ for omsite sewage disposal only. It may be COnverted to a permit only <br /> if, at the time of application, the parcel has been found to be COmpatible with applicable LCDC- <br /> acknowledged local comprehensive land use plans and implementing measures or the Statewide Planning <br /> Goals. The Statement of Compatibility may be made on the attached form or its equivalent. Authorized <br /> Agent approval is required before a construction permit can be issued. <br />This report is valid u~til an on-site sewage system is installed pursuant to a construction permit obtained from <br />.~ ~- ~/~--~, or until earlier cancellation, pursuant te Commissfon rules, with written notice <br />thereoFby the DepaCment of Envi~nmental Quality to the owners according to Department records or the County tax <br />record~.~ub~ect te ~% f~rcgoi)/~, ~ report runs wit~he land and will automatically benefit subsequent owners. <br /> <br /> <br />