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Compliance Inspection Compliance Inspection UID # 12961
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	Philip J. Stoll - 08/09/2020 10:12 AM 001fd20213bd0c2f7d0e8d12de2a0658 c5af92149981e9876ab4c4fed8d688d2
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 11:51 AM 9e0cf01cb33290209f5521eac0b57677 41a161c86166cf6e1d8f80d668026248

Inspection has been approved. All signatures have been obtained.