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Compliance Inspection Compliance Inspection UID # 11741
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	Ross W. Seifert - 06/24/2020 2:45 PM 8149d30790f44c71a40cc8b2acf18fd1 7a0fe6c4c95433d55a0739d66b521955
#1 Compliance Inspection Accepted	Michelle Jevne - 12/30/2020 12:09 PM d69c7200e44c7cc123d83dbeef2495c2 39db825a70dd58a810fecb4506247783

Inspection has been approved. All signatures have been obtained.