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Compliance Inspection Compliance Inspection UID # 13301
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	robert a. rokes - 08/20/2020 9:37 AM 73e94d0b46ab6258f90e0770b95a8701 9fd64d2b9b56f35349cec35c7c31fca2
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 11:58 AM 08327a921161eeff0d55bb72ed85548e da43f13fb6f8cc9dfb472ec9bdcc8a38

Inspection has been approved. All signatures have been obtained.