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Compliance Inspection Compliance Inspection UID # 13391
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 - 08/25/2020 9:29 AM d8475b9cd545559dd67ec33e30508276 cbc1c0bad1db93b75896c2230c6d3088
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 12:01 PM 2e00e791f926c4eba3f2971478a7a519 05cb22c8022eef0d7481efd8e3ec8480

Inspection has been approved. All signatures have been obtained.