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STATE. OF OREGON <br /> <br />DEPARTMENT OF ENVIRONMEN~'AL QUALITY <br /> <br />Thc Entire Property Q I-Ins <br /> ~ Has Not Been Evaluated <br />PLOT PLAN OF APPROVABLE AREA: <br /> <br />~"or Off icc U~e On]y <br /> <br />REPORT OF EVALUATION FOR ONE LOT <br /> A ON-SITE SEWAGE SYSTEMS <br /> <br /> E ......... <br /> <br />Any 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 thc Environmental Quality <br />Commission. Any such subdivision, partitioning or alteration may void this report. <br /> <br />Tbe site has been found suitable for installation of the following kinds of on-site sewage disposal systems, with the <br /> <br />WARNING: This document is a technical report for on-site sewage disposal only. It may be conve~ced 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 /> .~gent approval is required before a construction permit can be issued. <br />Tl~svu~report i~ val~M,-a~l a~ on-site sewage system is installed pursuant tea construction permit obtained from <br />· t~~--' or until earlier cancellation, pursuant to Commission rules, with written notice <br />thereof by the Departme~ht of Environmental Quality to the owners according to Department records or the County tax <br />record~l~, bject to th~ f'o~e~ing, thj~ report runs with the land and will automatically benefit subsequent owners. <br /> <br /> <br />