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ECY 070-652 <br />Page 13 <br />Application: Active Biosolids Management Facilities <br />Revised June 2022 <br />Certification Statement <br />“I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, <br />or those persons directly responsible for gathering the information, the information submitted is, to the <br />best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />penalties for submitting false information, including the possibility of fine and imprisonment for knowing <br />violations.” <br />Signature of Responsible Official Title Date <br />Must be signed by the Responsible Official; see WAC 173-308-310(10)(a). <br />Mayor, City of Everett 03/27/2025