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STATE OF OP. EGON <br /> <br />DEPAI~TMENT OF ENVIRONMENTAL QUALITY <br /> <br />Office U~e Only <br /> <br />REPORT OF EVALUATION FOR ONE LOT <br /> ON-SITE ~WAOE SY~'~4,~ <br /> <br />The Entire Property ~ ~ <br /> ~en Eval~ <br /> <br />PL~ P~N OF ~PROV~{.~ A~EA: <br /> <br />Any alteration of the natural conditior~ in the area approved far the on,its system or replacement area may void this <br />approval. <br />This approval is given on the basis that the lot/~ parcel described above will not be further partitioned or subdivided and <br />that condition~ on subject or &djacent properties have r~ot b~n altered in any n~anner which would i~ohibit ~mtmnce of a <br />pdrmlt in accordance with O,R,~, 454.605 through 454.?55 a~l Administrative Rules of the Env/ronraental Quality <br />Commission Aoy such subd/vision, partJtionir~ or alteration may void this report. <br /> <br />Tl~e site has ]Oeen found suitable for ir~tall~tion of the following kindz of on-site ~ewa~e disposal systems, with the <br /> <br />WARNING: This ~0cument is a technical report for on-~ite ~w~ge d/zpceal only. It ro~y be converted to a permit only <br /> if, at the t/me of applicat/on, the parcel ha~ been fotmd ~o be ~ompatible wi~hh applicable LCDC- <br /> a~knowledged local comprehensive lar~l use pla~ and impleme~ltt~ m/~a~ure~ or the St~tewide Planning <br /> Goals.. The Statement of Compatibility may be made on ~ at~.hed form or its equivalent. Authoro~i <br /> Agent approval is required before a ooristr~gtion permit can be issued. <br /> <br />~/~--'~-~ ~-~-~-~-_~.-, or unt/1 ea,r. lier cencollat/on, pursuant to Commi~ion rule~, with written notice <br />thereof by the Depar~men~ o~ Env/~onmental Quahty to the owner~ according te Department record~ or the County tax <br />records. S~port runz with the land and will autonm~cally benefit a~l~equent owners. <br /> <br />01~-WQ-XL 115 <br /> <br /> <br />