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Compliance Inspection Compliance Inspection UID # 12982
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 - 08/09/2020 6:33 PM 691af2e12089db2bef6499c827486530 02f0c22f6f66007df4518c50efaee6dd
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 11:53 AM eb5a99c8084323425296c3868bfb8eb5 14ebf42ce462ee75a8037dfc4b10ccf6

Inspection has been approved. All signatures have been obtained.