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Compliance Inspection Compliance Inspection UID # 14705
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	Philip J. Stoll - 11/01/2020 6:46 PM b96a3d5ba80f18a3ab7846a6aeb5863d 678569498e2e6799030c4441ae20a50e
#1 Compliance Inspection Accepted	Michelle Jevne - 01/08/2021 12:03 PM 819c2719d3832171accbc7b05ad736bd bf09569da611ce4e7753287ab1768ad5

Inspection has been approved. All signatures have been obtained.