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~rrATE OF OREGON <br />DEPARTMENT OF ENV~RONMF.,NTAL QUALITY <br /> <br />REPORT OF EVALUATION FOR ONE LOT <br /> ON-SITE SEWAGE SYSTEMS <br /> <br />The Entire Property ~ <br /> ~ Has Not <br /> <br />Been Evaluated <br /> <br />For Office Use Only <br /> <br />PLOT PLAN OF APPROVABLE AREA: <br /> <br />Any alteration of the natural conditions in the area approved for the on-site system or replacement void this <br />approval. <br />This approval is given on the basis that the lot or parcel described a~ove will not ~e further <br />that condition~ on subject or adjacent properties have not been altered in any manner which would' <br />permit in accordance with O.R.S. 454.605 through 454.755 and Admi~$trative Rules of the Environmental Quality <br />Commission. Any such subdivision, partitioning or alteration may void this report. <br /> <br />The si~e has been found suitable for installation of the following kinds of on-site sewage disposal systems, with the <br />limi i s a dd//ff~nal roqui ents indicated: <br /> <br />WARNING: This document is a technical report for on-site sewage disposal only. It m~y be converted to a permit only <br /> if, at the time of application, the parcel has been found to be compatible with applicable LCDC- <br /> acknowledged local comprehensive land use plans and implementing measures or the Statewide Planning <br /> Goals. The Statement of Compatibility may be made on the attached form or its equivalent. Authorized <br /> Agent approval is re.quirod before a construction permit can be issued. <br />T~ repart~$ v~id u~i~,on~e _sewage system is installed purs~nt to a construction permit obtained from <br />_'¥ ~F~A~.~ N { ~ ,. ~ ~_oJA~, or until earlier Canc~llation, pursuant to Commission rules, with written notice <br />thereof by the D~artrn~nt o~/ ~nvicohmental Quality to the owners according to Department records or the County tax <br />records. ~f~e~t~ex//// . ~-../~ th~/~of~g~ rig, ~d~s report run~ with~l~, ,~ land and will automatically benefit subsequent owners <br /> <br /> <br />