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Compliance Inspection Compliance Inspection UID # 14707
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 6:54 PM 12bf6785453a8c0f747b9d67409c6fe1 1ad880a2f0d734505234de719aa5df57
#1 Compliance Inspection Accepted	Michelle Jevne - 01/08/2021 12:04 PM c01a7aed4b450f510c220fda7b26043a 20b54dec08518e6da172a768f87f1b3a

Inspection has been approved. All signatures have been obtained.