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Compliance Inspection Compliance Inspection UID # 14776
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	Daniel W. Ness - 11/04/2020 8:18 AM 382430b9daf5351f43ba7fd22075369d dd4bfc597ae77569565aa47291cc25d2
#1 Compliance Inspection Accepted	Michelle Jevne - 01/08/2021 12:06 PM eb9f8a962e7c3f2e67b425356cdda5b9 b829be796651bbc7c42034c5d06fb07e

Inspection has been approved. All signatures have been obtained.