§ 152.45 CERTIFICATE OF COMPLETION AND COMPLIANCE.

   Within ten days after completion of a land alteration for which a drainage permit was required and relative to which a certified plan was required to be filed pursuant to § 152.20, a registered professional engineer, land surveyor or architect, engaged in storm drainage design, shall execute and file with the Board a certificate of completion and compliance. Such certified shall be in the following form:

CERTIFICATE OF COMPLETION AND COMPLIANCE

Address of premises on which land alteration was accomplished

Inspection Date(s):                                                          Permit No.

Relative to plans prepared by:                              on                             , 20

I hereby certify that:

(1)   I am familiar with drainage requirements applicable to such land alteration; and

(2)   I have personally observed the land alteration accomplished pursuant to the above-referenced drainage permit; and

(3)   To the best of my knowledge, information and belief such land alteration has been performed and completed in conformity with all such drainage requirements, except                                                              .

Signature                                                                Date

Typed or Printed Name                                             Phone

(SEAL)

Business Address

Surv.                                                Eng.                                             Arch.

Indiana Registration No.

 

(1991 Code, § 134.41)