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Compliance Inspection Compliance Inspection UID # 18531
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 - 06/01/2021 10:10 AM e30fcdae4694f3bd7b2fcf9e08e5e928 867f01eaeb280120069c87d68257272c
#1 Compliance Inspection Accepted	Michelle Jevne - 06/02/2021 1:03 PM 354155096ea779147961073e1ed38aae 86d16b0014120ad92ae06375bc06a39b

Inspection has been approved. All signatures have been obtained.