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Compliance Inspection Compliance Inspection UID # 14703
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	Scott M. Ellingson - 11/01/2020 9:02 AM e4df9a15e2803e94e10b8e251ebce05e e65f7c12cfcc3131210638df63f64ad9
#1 Compliance Inspection Accepted	Michelle Jevne - 01/08/2021 12:03 PM 08d8d64582bd12755f639b6b3cf881eb ea54f9107377aacd6e4aeba1effedf04

Inspection has been approved. All signatures have been obtained.