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Compliance Inspection Compliance Inspection UID # 27926
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 - 10/03/2022 6:43 AM 3cec2573cc92481c18b61ca1e1f73077 028f237f5afe6818d33bc352df481f37
#1 Compliance Inspection Accepted	Michelle Jevne - 11/17/2022 11:57 AM 0004582e74ee3063626ebeb42a3fe1d5 c46a62f6e426b2f3d38ab415ab4809d3

Inspection has been approved. All signatures have been obtained.