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Compliance Inspection Compliance Inspection UID # 24671
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	Brian R. Brogard - 05/17/2022 8:12 AM 6bebdf71ed31d5b04fff2fc07ddda166 00a92a607173f77441ef4d7761a0cd6e
#1 Compliance Inspection Accepted	Michelle Jevne - 05/17/2022 8:57 AM 1f35d908d6bce8c9fbb220247e2d5587 a3605ef7799fe639c9017ba0c082bb13

Inspection has been approved. All signatures have been obtained.