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~'rATE OF OREC, ON DEPARTMENT OF ENVIRONMENTAL QUALITY REPORT OF EVALUATION FOR ONE LOT ON~IT~ ~WAGE SYSTEM~ The Entire Prol~r~y ~i~ Has ~ Not Been Evaluated PLOT PLAN OF APPROVABLE ARE.~ For Office U~e O~ly Any alteration of the natural conditions in the area approved for tI~ on-~ite 8y~cem or replaCement area may void thio approval. This appl~)val is given on the basis that the lot or parcel described abeva will not be further partitioned or subdivided and that conditiorm on subject or adjacent properties have not been altered in any manner which would prohibit izsuance of a permit in accordance with O_R_S. 454.605 through 454.755 and Administrative Rules of the Envlronmental Quality Commiz~iou. Any such subdivision, partitionlng or alteration may void thim report. The zite has been found suitable for in~tallation of the following kind~ of on-site sewage disposal systems, with the Il mitati~ _and ~f~tition~l)requiremerkts it~cli~at~: . ..... ................... WARNING: This dOCument is a technical report for on-site sewage dispmml 0nly. It may be converted to a p~rmit only if, at the time of application, t2~ parcel ha~ be~n found to be compatible with appllceb]e LCDC- acknowledged local comprehensive land use plana and implementing measures or the Statewide Planning Goals, The Statement of Compatibility may be made on ~ attached fora or it~ equivalent. Authorized Ageut approval is required before a con~2:~J~q;ion permit can be issued. Th~,p~,~:?. valjil_un~ff~on-~e sewage, system is inztalled pursuant to a cor~tru,tion permit obtained from __.~:.. ~v~._~ ~ t~:~-~, ~ ~orr until-earlier cancellation, pursuant to Commission rules, with written notice them,of b~y ?.e Department of/Envu,,o.nmental Quality. to the owners according to Deportment record~ or the County tax recores./~lub~ct,~~~~to^th~ ~rego~pg, this report rum ~w~th ~ae land and will automaticallyg~.~/_~Z ~benefit subcequent,ownera.~_ frO,