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Compliance Inspection Compliance Inspection UID # 14286
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 - 10/04/2020 12:58 PM 504d0455f28aa476c0d142895f5c91ae 707512fe33bd2a82c8c487192e6c4675
#1 Compliance Inspection Accepted	Michelle Jevne - 01/08/2021 11:40 AM 56b2417b54415521d0d4cc0d7ab89db6 8a108af5e20619f2a3844f70f97eb0da

Inspection has been approved. All signatures have been obtained.