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Compliance Inspection Compliance Inspection UID # 13363
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 - 08/24/2020 11:38 AM 1469dd4dbb86d17a70fe868ffdad0582 bd20f25c7ea35114e0d3760d7e822694
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 12:00 PM 2ca930db7663269f8e1e3a593d626dd7 3e038feee9d43059244518195426921e

Inspection has been approved. All signatures have been obtained.