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Compliance Inspection Compliance Inspection UID # 13404
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 3:55 PM 28cde5b45dbe7130130e068b65244568 94ce9cd3d4ea20f913f2856b6a34c752
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 12:11 PM 088aa229094963f59d91124789a2ebf8 40650ce6e11b16575b63b930c1a9ad78

Inspection has been approved. All signatures have been obtained.