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Compliance Inspection Compliance Inspection UID # 16591
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 - 03/11/2021 6:50 AM a01192c5e0dc525a227a9e2c4d5f22a4 4092425730952ca8770be9a8b1f5c735
#1 Compliance Inspection Accepted	Michelle Jevne - 08/09/2021 4:24 PM 8e6a9dcb4d81ca436a56dd8e3dfffbfa 12a4598d96feb2cc3d0247da5d0bc11a

Inspection has been approved. All signatures have been obtained.