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Compliance Inspection Compliance Inspection UID # 9353
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	Daniel W. Ness - 03/18/2020 7:05 PM 69b786f1614ae740332a0df1caa47eaf 1bca38892f6628c674c6d37ceeac9812
#1 Compliance Inspection Accepted	Michelle Jevne - 03/19/2020 8:45 AM 23a0e09d5ee99a55e964e0052fd38236 234dc4fd240348d88fccc7f7597f70f0

Inspection has been approved. All signatures have been obtained.