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Compliance Inspection Compliance Inspection UID # 14898
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	robert a. rokes - 11/17/2020 5:43 PM 2f36781502344cc51a8847ef8b268db9 72c7b9dc11b2806ce3765fec7b1bfdd1
#1 Compliance Inspection Accepted	Michelle Jevne - 12/31/2020 10:27 AM 1c5b30d3f22bcc7fe6f6df78a59e5312 3dd2a53580b93381d8f761661cba5219

Inspection has been approved. All signatures have been obtained.