What is the Engineer’s Certificate of Completion for?

It provides evidence that construction of a sewage collection system under General Aquifer Protection Permit 4.01 was completed in compliance with the applicable permit verification or allowed changes.

Who completes this certificate?

The certifying engineer named on page one must complete items 1 through 6, including construction, test results, plans, operation and maintenance information, and any additional required details.

Do I need a notary for the Engineer’s Certificate of Completion?

No. The certificate is completed without a notary; the certifying engineer provides a professional seal, and the document does not identify a sworn or notarized attachment.

Yavapai County, AZ · Yavapai County

No notary required

Engineer’s Certificate of Completion

This certificate documents completion of a sewage collection system under General Aquifer Protection Permit 4.01 and is completed by the project’s certifying engineer.

At a glance

Issued by: City of Yavapai County · Yavapai County, Yavapai County, Arizona
Notarization: Not required: file this form without a notary.
Official source: yavapaiaz.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

The Engineer’s Certificate of Completion provides evidence that construction of a sewage collection system was completed in compliance with the provisional permit verification or allowed changes shown in as-built plans. The certifying engineer completes it with project, contractor, testing, plans, and operation and maintenance information. It also identifies whether supporting plans, test reports, or other required information are attached.

Who needs it

A professional engineer certifying completion of a sewage collection system constructed under General Aquifer Protection Permit 4.01 completes this certificate.

How to submit it

The form lists the Arizona Department of Environmental Quality at 1110 West Washington Street, 5415B-3, Phoenix, Arizona 85007.

About notarization

This certificate is completed without a notary; the certifying engineer provides a professional seal, and no sworn or notarized attachment is identified.

How to submit this form

1
Download the Certificate
Download the Engineer’s Certificate of Completion PDF.
2
Complete the Project Information
Enter applicant, engineer, project, contractor, construction, testing, plans, and operation and maintenance information.
3
Gather Supporting Documents
Attach applicable as-built plans, field test result reports, contractor or testing lists, and other information required by the Department.
4
Submit the Certificate
The form lists the Arizona Department of Environmental Quality address in Phoenix, Arizona.

Frequently asked questions

What is the Engineer’s Certificate of Completion for?: It provides evidence that construction of a sewage collection system under General Aquifer Protection Permit 4.01 was completed in compliance with the applicable permit verification or allowed changes.
Who completes this certificate?: The certifying engineer named on page one must complete items 1 through 6, including construction, test results, plans, operation and maintenance information, and any additional required details.
Do I need a notary for the Engineer’s Certificate of Completion?: No. The certificate is completed without a notary; the certifying engineer provides a professional seal, and the document does not identify a sworn or notarized attachment.
How do I submit the Engineer’s Certificate of Completion?: The form lists the Arizona Department of Environmental Quality at 1110 West Washington Street, 5415B-3, Phoenix, Arizona 85007.

Need something notarized?

This Engineer’s Certificate of Completion doesn’t need a notary, but if you have another Yavapai County form that does, a commissioned online notary can help.