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STATE OF OREC~ <br />DEPARTMENT OF F. NVIR~AL QUALITY <br /> <br />Fo~ Offi~e Use On)~v <br /> <br />REPORT OF EVALUATION FOR ONE LOT <br /> O~.~ITS SEWAGE S'l'~-r]~[S <br /> <br />The Entire PrelaCy J~ ~ <br /> ~l..~'~ot Been Evaluated <br /> APP OVABL AS A: <br /> <br /> · : ' : ... -: .., .... : i ..i _ !...~ , {.,.i ....... <br /> <br /> · ,~ ,-, /~-~.-;-.e ........ ,.--h~--~.~ .-~-~-..-.-.-,-I! ~ · { 1,,',-.~-~. , ~ ~',,..~' ' , '"-' <br /> <br /> { ~,V V;~ ~: ~ ~~..j.__ · , , , ~ ' <br /> <br /> : ' ..~-~ .... ~ -.-4--¢ ~ '. ~ .. -~ ............ <br /> <br /> ' ; ~ ~ '- ' : ........, t ,~'"","I' , ,t -' ' ~: ........ ~ . ~ . : ...... ~ . · :. ....... : : ' . <br /> <br /> .... ~ · : .:- ; ~-~ · , :, .- ~ · : ../, <br /> <br />Any al~ra~on of ~e ~t~l ~iti~ in ~ a~ a~ f~ t~ ~ s~m or ~l~nt ~ ~ void ~s <br />app~val. <br />~ a~val is gi~ ~ ~ ~ ~t ~ ~t ~ ~l ~ a~ve will n~ ~ f~r ~flo~ ~ su~ a~ <br />~t ~n~io~ on subj~ ~ ~nt ~ ~ ~ ~n ~ in ~ ~ner whi~ w~ld ~ibit ~n~ of a <br />~it in a~ wi~ O.~S. ~.~ ~~755 ~ ~n~a~ve Rule9 of ~e En~e~] Q~lity <br />Co~i~ion. A~ s~h ~i~n, ~ ~ ~ ~ void ~is ~ <br /> <br />WARNING: This document is a technical report for on-s/re ~vage digposal only, It may be converted to a permit only <br /> if. at the time of application, the parcel hss been found to be compatible with applicable LCDC- <br /> acknowledtl~l local camprehensiv~ land use plans sa~d implementing messures or the Statewld~ Planning <br /> Goals. The Statement of Compatibility may he made on the attached form or i~ equ/valent, Authorized <br /> Ai~nt approval is required be/me a e0nstet~-fion permit e~n be if~su~cl. <br /> <br /> 4~,~-~ ~v, ~ ~ , or until ea~..lier cancellation, pursuant to Commm~on rules, wit& written notic~ <br />thereof by the Department/of Envh~nn~ntal Qvahty to the o~me~ ac~rding to Department records or the Count~ tax <br /> Sub'ect the re ' , this ~ hms w~? lamt and will automatically benefit subaecluen~ owners. <br /> <br /> <br />