HomeMy WebLinkAbout2023.05.31 Birchwood Ph3 Engineers Certification (Water)1149 Executive Circle – Suite C-1, Cary, NC 27511
919.576.9733 | NCBELS C-3847
Certifications can be sent by mail, fax (919-715-4374), or attachment to an e-mail message to
PWSSection.PlanReview@ncdenr.gov
PUBLIC WATER SYSTEM PROJECT
ENGINEER CERTIFICATION FORM
By the signature below I certify:
The referenced public water system project was completed in substantial compliance
with the approved engineering plans and specifications, including any provisions
stipulated in the Department’s plan approval letter or authorization to construct letter,
and revised only in accordance with the provisions of Rule .0306.
This is a
__X_Full certification, covering Phase 3
___ Partial certification, _______________________
This certification is based upon inspections conducted (select one):
____ Daily
____ Continuously
__X_ Periodically
By (select one):
__X_ Myself
__X_ Another under my responsible charge
Seal here:
Engineer Signature:
Engineer Name(Print):
Landon M. Lovelace PE
Project Name:
Birchwood Grove S/D Phase 3
Date:
2023.05.31
Serial No:
22-01054
Water System Name:
NC0343045, Harnett County
2023.05.31