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Compliance Inspection Compliance Inspection UID # 13431
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	Bill Schueller - 08/26/2020 3:23 PM 3a8e09fda9fcaa36a55dc75dbdff0f6a 500b1ce0651b6d165b8886955b9da714
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 12:13 PM 6dae30e55109d9e8fa5af96d4207bb5c d5844c277732a2a02da9839aa5ea96d7

Inspection has been approved. All signatures have been obtained.