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Compliance Inspection Compliance Inspection UID # 10374
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
Applicant	Daniel W. Ness - 05/06/2020 6:34 PM e14dba33759f7e7d1a488dd13e6a4a90 2ceb42f61e81a6e2800b24353aeee07a
#1 Compliance Inspection Accepted	Sheila Dahl - 06/23/2020 3:43 PM 53de26cb3f7ca52414f5a1146b5eb8b8 01d131acfc1224dc25ecacee42f5b7a6

Inspection has been approved. All signatures have been obtained.