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PERVIOUS PAVEMENT AS-BUILT CERTIFICATION
DATE:
To: Metropolitan St. Louis Sewer District
Department of Engineering
Attn: Keith Milson
From: (Consultant Engineer’s Name)
Title:
Consulting Engineer Company Name & Address
Re: Engineering/Construction Certification for the following project:
MSD Project Name:
MSD P#:
Project Address:
For the project’s permeable pavement practice, this correspondence shall serve as a certification
of the following:
1. The Pervious Pavement was built in accordance with the details, dimensions, and
materials as approved by MSD for this project.
2. The Pervious Pavement was installed by a qualified contractor, and has satisfied
all applicable quality control and performance tests.
3. The Pervious Pavement installation was witnessed periodically by the certifying
engineer or a representative under their direct supervision.
Printed Name:
Discipline:
License No:
(P.E. seal with signature and date)