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Compliance Inspection Compliance Inspection UID # 13054
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	Bill Schueller - 08/11/2020 7:33 AM 833167b7a3479c4981301cd9d72d5a3d cb67cf3233ed0164432e4474d6f7bd59
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 11:54 AM 9707c98600ba157adc870c0cc27ef99d f01e85df4ed01357e6cc18bae9816f64

Inspection has been approved. All signatures have been obtained.