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Compliance Inspection Compliance Inspection UID # 13146
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	Options
Applicant	James R. Piper - 08/17/2020 12:15 AM 85dd63667f099d7d48003166d819311c 0c1f0c12ca5982924da92ce96ad9a7da
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 11:57 AM 1606b165223e290fa512823af001a3f8 1280cc65f058d919b1d2a79f4e7e44bb

Inspection has been approved. All signatures have been obtained.