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Compliance Inspection Compliance Inspection UID # 10236
App. Status: Compliance Inspection Accepted

Terms

Certification

By submitting this form I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of the future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage

Approvals

Approval	Signature	Options
Applicant	Scott M. Ellingson - 05/01/2020 3:46 PM 19bc93ded4d56d5d0c36cbdd8807f006 554befc0f30c4908230f2527e09ea41d
#1 Compliance Inspection Accepted	Sheila Dahl - 06/01/2020 11:54 AM 1c6c6d106c3064922e48a6ae636eee3a 2ba8db1ce3c862e9c3505b2da1ae5303

Inspection has been approved. All signatures have been obtained.