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Compliance Inspection Compliance Inspection UID # 16406
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	Bill Schueller - 02/17/2021 10:56 AM 68ec308dc172b624160af9f12a946040 3f74c9ab2ffb5fce3b62a967e8e6f200
#1 Compliance Inspection Accepted	Michelle Jevne - 08/09/2021 4:05 PM ed34e76b3fc57ae0c710a5db6c9594d0 43d35e668affc37e52bdf7c90c9f9f37

Inspection has been approved. All signatures have been obtained.