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Compliance Inspection Compliance Inspection UID # 12548
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	Scott M. Ellingson - 07/25/2020 12:10 PM 6cd7780198f51cefb71591a6c6eae5a7 6462d30498f9cf4edc1d20c99a085f28
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 10:38 AM 7b2020ee9979009430ce68275241d44d 9aa0a10207d456e01c9019b77a498df2

Inspection has been approved. All signatures have been obtained.