Land & Resource Permit Applications
Compliance Inspection Compliance Inspection UID # 20210
App. Status: System Replaced
App. Status: System Replaced
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 | Options |
|---|---|---|
| Applicant | Scott M. Ellingson - 07/30/2021 8:05 PM 2b22baf07ec89bb3c46c773bcd285e6b b7a93b473865bab27b6854bedf44d925 | |
| #1 Compliance Inspection Accepted | Sheila Dahl - 10/22/2021 10:01 AM 63441301748b05a5f6b88586a499b485 be31dba4061cf86483ac831358a93f1f |
Inspection has been approved. All signatures have been obtained.