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STATE OF OREGON <br /> <br />DEPARTMENT OF ENVIRONMENTAL QUALITY <br /> <br /> REPORT OF EVALUATION FOR ONE LOT <br /> ON-SITIg SI~;WAGE 8Y,~TEM$ <br /> <br />.............. / // <br /> <br />Thc Entire Property ~ <br /> Been Evaluated <br /> ~ Has Not <br />PLOT PI,AN OF AREA: <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 conditiorus 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 the Environmental Quality <br />Commission,, Any such subdivision, partitioning or alteration may void this report,, <br /> <br />The site has been found suitable for installation of the following kinds of on-site sewage disposal systems, with the <br />limitations and additional/requirements,indicated; <br /> <br />WARNING: This document is a technical report for on-site sewage disposal only. It may be converted to a permit only <br /> if, at the time of application, the parcel has been found to bo 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 r~tuired before a construetmn permit can be issued. <br />'r~i~ report ~s vghd untal~al~ on-site sewage system is installed pursuant to a construction permit obtained from <br />~ ~/~q^o ~~t4~r until earlier Cancellation, pursuant to Commission rules, with written notice <br />thereof by the Deportment of ~nviron~nental Quality to the 6Whets according to Department records or the County tax <br />records, $~ul]ject to the~ for~ing, t~_is report r~.~h the land and will automatiCally benefit subsequent owners <br /> <br /> <br />