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Certificate - Mandatory Sewage System Maintenance Inspection Program

Name of Consultant:

BCIN# (if applicable):

Business Name:

Business Address:

Telephone Number:

Email:

Certificate
Mandatory Sewage System Maintenance Inspection Program
(Pursuant to Article 1.10.2.5 of Division C of the Building Code)

Certificate Number:

Date Certificate Issued:

Address of Property on which Sewage System is Located: (hereinafter called the “Property”)

Owner of Property on which Sewage System is located:

Certificate issued to (name and address of Principal Authority):

I certify that:

I am a person described in Sentence 1.10.1.3.(3) of Division C of the Building Code

I have conducted an inspection of the sewage system located at the Property

I am satisfied on reasonable grounds that the sewage system located on the Property is in compliance with the requirements of Section 8.9 of Division B of the Building Code

Certificate issued by:

Complete as applicable:

BCIN

I am the holder of a licence, a certificate of practice or a temporary licence under the Architects Act

I am a person who holds a licence or a temporary licence under the Professional Engineers Act

Signature:

Clear

Today's Date

This certificate is approved by the Minister of Municipal Affairs and Housing under the Building Code Act, 1992. Personal information contained in this form and schedules is collected under the authority of clause 34(2.2) (d) of the Building Code Act, 1992, and will be used in the administration and enforcement of the Building Code Act, 1992. Questions about the collection of personal information may be addressed to: a) the Chief Building Official of the municipality or upper-tier municipality to which this application is being made, or, b) the inspector having the powers and duties of a chief building official in relation to sewage systems or plumbing for an upper-tier municipality, board of health or conservation authority to whom this application is made, or, c) Director, Building and Development Branch, Ministry of Municipal Affairs and Housing 777 Bay St., 2nd Floor. Toronto, M5G 2E5 (416) 585-6666.