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Compliance Inspection Compliance Inspection UID # 13114
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	Ross W. Seifert - 08/13/2020 12:07 PM a39b9a80efc821bf135e9e9e11d602ed aad10dcf7ace8eb7ed14abdf1a0b26c9
#1 Compliance Inspection Accepted	Sheila Dahl - 08/27/2020 11:17 AM 925c4e12f6448a9bf61c2ce68576d905 c49b6ec725d931ecab056f2ed53c3b31

Inspection has been approved. All signatures have been obtained.