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Compliance Inspection Compliance Inspection UID # 13464
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 12:12 PM 740971549e7de30bf688d92d21d3e14a 2658fb9767dfebf55ec94c4cc65e8369
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 12:21 PM f3f37174078530e303dd00e5bdf1543d a97a1abfd44601b03caed36a04df010e

Inspection has been approved. All signatures have been obtained.