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Compliance Inspection Compliance Inspection UID # 14339
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 - 11/05/2020 2:25 PM 2ec6a83aa86c2333562c9c266f6b641b 818f8d299233ad4feb375ca3a42825b1
#1 Compliance Inspection Accepted	Michelle Jevne - 01/08/2021 12:07 PM 26a70f4e7529ae8e9099f43756068312 c49c7da31e0246d4b5371eb2ced5580f

Inspection has been approved. All signatures have been obtained.