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The document is a Completion Statement from the Commonwealth of Virginia's State Department of Health, certifying that an onsite sewage disposal system has been installed in compliance with relevant regulations and permits. It includes fields for personal and property information, as well as a signature and license number.

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Versions	Form popularity	Fillable & printable
2019	4.9 Satisfied (59 Votes)
2014	4.3 Satisfied (66 Votes)
1983	4 Satisfied (22 Votes)

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