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Compliance Inspection Compliance Inspection UID # 14113
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 - 09/28/2020 10:50 AM f3ba651cee0ddbddc3b7612634a2b15f 1ace7274953e414126f7606bd4bca4f7
#1 Compliance Inspection Accepted	Michelle Jevne - 01/08/2021 11:25 AM e3f650bebe3d512cf4e5259631c84737 b6db6a5615e7269675bdf6bdcbccd5b9

Inspection has been approved. All signatures have been obtained.