§ 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
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)