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Compliance Inspection Compliance Inspection UID # 13463
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	Brian R. Brogard - 08/28/2020 12:02 PM 937d9b5f4f88c76713c8aefb1131fc9e de716d9aea0baf42c210664d91f95672
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 12:20 PM 1d19a93347a603d28ff0bdab2b94c681 83bb7a0a197feecf6be0c20979f99475

Inspection has been approved. All signatures have been obtained.