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Compliance Inspection Compliance Inspection UID # 12971
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 11:08 AM 78d941b7b679674c0aa6a3c0d6f958a8 8330ad43ab3ea2411241340ec84cf53f
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 11:52 AM 1ee3845ad3ee0617ec16447b4956f248 7b4818b14530da53bda7f826d748c660

Inspection has been approved. All signatures have been obtained.