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Compliance Inspection Compliance Inspection UID # 18562
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 - 06/02/2021 4:59 AM 128ca5a7bdcfa584c4a34290d8168c8e 6b222ae513eccf2e86d2c5083d3b677f
#1 Compliance Inspection Accepted	Michelle Jevne - 06/02/2021 12:48 PM 8f88cd41468c2e9e2543e9410d5723fb c973f9fd8715618ef16ccc4a4763e00f

Inspection has been approved. All signatures have been obtained.