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Compliance Inspection Compliance Inspection UID # 13465
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 - 08/28/2020 2:22 PM 020cf1c11857357806d81f4f09672bfb 17a53c1cd60e43ed21a35fd8b02c9874
#1 Compliance Inspection Accepted	Michelle Jevne - 01/07/2021 12:22 PM 3f42b535b9ee489eeb631ccaa6d737a5 facc944b43edac18cafb18dec2e2f3cf

Inspection has been approved. All signatures have been obtained.