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Compliance Inspection Compliance Inspection UID # 21998
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	Options
Applicant	Philip J. Stoll - 10/11/2021 8:11 AM 027f5d0dfad7c5490755f6c5bb3caaf0 c92e65fce9ca53de6222d502af5af604
#1 Compliance Inspection Accepted	Michelle Jevne - 03/02/2022 3:49 PM 10746986f6446d7bf2fb695354a7892f 1f553552518698ef9b5b974081445cf1

Inspection has been approved. All signatures have been obtained.