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STATE OF OI~GON DIgPARTMENT OF Ei~srIRONMENTAL QUALITY REPORT OF EVALUATION FOR ONE LOT ON-SITE SEWAGE SY//~EMS The Entire Property ~ ~Has Not Been Evaluated Fol' Office Usc Only (County) PLOT PLAN OF APPROVABLE AREA: Any alteration of the natural conditions in the area approved for the on-site system or replacement area may void this approval, This approval is given on the basis that the lot or parcel described above will not be further partitioned or subdivided and that conditions on subject or adjacent properties have not been altered in any manner which would prohibit issuance of a permit in accordance with O,RS, 454,605 through 454,,755 and Administrative Rules of the Environmental Quality Commission,, Any such subdivision, partitioning or alteration may void this report The site has been found suitable for installation of the following kinds of on-site sewage disposal systems, with the WARNING: This document is a technical report for on-site sewage disposal only, It may be converted to a permit only if, at the time of application, the parcel has been found to be compatible with applicable LCDC- acknowledged local comprehensive land use plans and implementing measures or the Statewide Planning Goals, The Statement of Compatibility may bo made on the attached form or its equivalent,, Authorized Agent approval is required before a construction permit can be issued This repert~ is valid until an on-site sewage system is installed pursuant to a construction permit obtained trom ~x~--ff~-~-~ ~/~--, or until earlier cancellation, pursuant to Commission rules, with written notice thereof by the Department ~f Enwrenmental Quality to the owners according to Department records or the County tax records,, Su~s with the land and will automatically benefit subsequent owners.