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S'rATE OF OREC=OIq <br /> <br />DEPARTMI/:NW OF ENVIRONMENTAI~ QUA[JTY <br /> <br />For Offt~ U~o Only <br /> <br />REPORT OF EVALUATION FOR OIWE LOW <br /> ON-~)iTE SEW&GE <br /> <br />Any alteration of she natural condlC/oxx~ ir~ the area approve<l for the on-site ayStem or replacement area may void this <br />approval. <br />This approval i$ g/yen on the ba$/s that the lot or para~] described above will not be furthor partitioned or subdivided and <br />that conditiona on subject or adjacent propertie.$ have not been altered in ar~y manner which would prohib/t i~uance of a <br />perm/t in accordance with O,R.S. 454,605 through 454.755 a~t Adnxlniatrative Rulc~ of the Environmental Quality <br />Commission. Any such subdivision, partitioning or ~dtera/~ton may void this rapport. <br /> <br />The site has been found 8u/teble for inztallatJon of the follow/ng kinds of on-Site ~ewage disposal aystem~, with the <br /> <br />WARNING: Tiffs document i$a technical report for on~ite sewage disposal only. It may be ~onvert~/to a permit only <br /> if, at the time of applica/;ton, the parcel has been found to be oarapattble with applicable LCDC- <br /> a~knowle~l~ed local con~prehe~ive land Gze p]al~s and implementimmg mea~u_~es or the Statewida Planning <br /> C~, The ~tatement of Compatibility may be made on ~he attached fo/xn or its equivalent. Authorized <br /> Agent approval is r~l~tred b~fore a cor~truction perm/t can be i~zued, <br />~_is/valid ~ anf~rl-~i.~te sewage system is installed puraliant to a cor~tru~tion p61'mit obtained from <br /> ~ ~ ~-~ or until e~vrlier can~lla~ion, pursuant to Commi~ion rul~, with written notice <br />the~of by tt~ Departra~nffof E~vfronmental Quality to the ownera according to Department records or the County tax <br /> <br /> <br />