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S~*~ OF Ot~GO~ <br />D]~p~T~F-.NT O1~ ~N~I]IOlqM~I~PAL QUALITY <br /> <br />l%r O~flce U~ Only <br /> <br /> REPORT OF EVALUATION FOB ONE LOT <br /> OlV~l'l~ 8~WAO~ 8Y~TRM8 <br /> <br />..__q_t__I t 3 <br /> <br />The Entire Property ~ Has 186~n Evaluated <br /> <br />PLOT PLAN OF APPROYA~r.~. AREA: <br /> <br />Any alteration of the natural conditions in the are~ approved <br />approval. <br /> <br />{yst~m or replacement area n~y void this <br /> <br />Thiz approval is given on the baa~ timt the lc~ or ~1 d~ a~ will not ~ f~er ~gitioned or ~u~i~d~ and <br />t~t ~itio~ ~ subi~ ~ ~ p~ ~ve n~ ~n al~ in any ~nn~ whi~ would p~hibit i~n~ of a <br />~mit in a~n~ ~th O,R.8. 4~.~ ~ugh ~_7~ a~ ~ative RuI~ ~ ~e Envi~n~l Quali~y <br /> <br />T~ si~ ~ ~n found sui~ble for i~lla~on of ~e fot~ng kin~ ~f on-si~ ~w~ dis~l ~s~, with the <br />limi~t~ and ~i~l ~mmen~ i~a~:. <br /> .. ................ <br /> <br />WARNING: 'This do~lment is a technical report for on-sit~ s~wage dispoz~l only. It may be convertecl tO a permit ordy <br /> if, at the time of applicatiola, ~ parcel la~ bee~ found to be compatible with applicable L~DC- <br /> acknowleds~l local comprehensivz land use plans and implementing m~nsures or the Statewlde Plannir~ <br /> Goals. Th~ Statement of Compatibility may b~ made on tl~ attac2~d fo'~rn or it~ equivalent, Authorized <br /> Agent approval is r~quixed before a ~xmstruction permit can be i~ued. <br />sewage, system is installed purouant to a construction p~rmit obtained from <br />; or until earlier cancellation, pursuant to Commia6ion rules, with wrifien notice <br />ther~f bythe Dep~rtmdnt of ~nvi~ntal Quality ~o the owners according to Departn~nt record~ or the County tax <br />record~./b)lbj)~ to tl~ fo.~g~g, tJd~ repor~ runs with the~land and will automatically benefit ~ub~tuent owners. <br /> <br /> - <~ ~'~ ~, ..... ~r ~ ..... i~r~;: ......... <br /> <br /> <br />