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DEPARTMENT OF ENVIRONMENTAL QUALITY <br /> <br /> REPORT OF EVALUATiON FOR ONE LOT <br /> ON-~TTE SEWAGE <br /> ~ni~l ~ ~ Not a P~it) <br /> <br />....... <br /> <br />The Entire Property ~g~ Has <br /> ~ Been Evaluated <br /> <br />For Office Use Only <br /> <br />PLOT PLAN OF APPROVABLE AREA: <br /> <br />Ar~v alteration of the natural conditions 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 Environmental Quality <br />Commission. Any such subdivision, partitioning or alteration may void this report. <br /> <br />The site has been found suitable for installation of the following kinds of on-site ~ewage disposal systems, with the <br />limit~t_i.o~ns and addit~l requirements indica~ted: , ,~ <br /> <br />WARNING: This document is a technical report for on-site 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 />Th' report i~s vali until an on-site <br /> ~.~ ~ ~fi~ ............... sewage system is installed pursuant tea construction permit obtained from <br /> , or until earlier cancellation, pursuant to Commission rules, with written notice <br /> <br />thereof by the Department o~ Environmental <br /> <br />Quality to the owners according to Department records or the County tax <br />runs with the land and will automatically benefit subsequent owners. <br /> <br /> <br />