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Compliance Inspection Compliance Inspection UID # 14905
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 - 11/17/2020 6:31 PM 49721be8e5a9c75787c63a28c962e4aa 8d4a08dd07b44c81b2b01d15a5e35b2c
#1 Compliance Inspection Accepted	Michelle Jevne - 01/08/2021 1:08 PM f17a6da612128c1221980ce3ac55f774 7e3662b5238c6aadaaeaeeb0eccfba79

Inspection has been approved. All signatures have been obtained.