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Compliance Inspection Compliance Inspection UID # 14713
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 7:18 PM 860a9c408e40f26a7df48915c3b4ab78 db7c336d511a5da960cfcdb7fd43c5c1
#1 Compliance Inspection Accepted	Michelle Jevne - 01/08/2021 12:06 PM 4bb52162cef1e8d6aebecdd5c82137cc af237101273a4769a16029497dae7b48

Inspection has been approved. All signatures have been obtained.