DDW-2024-011484

ENGINEER’S CERTIFICATION AND DECLARATION

I, Robert J. Rousselle, hereby certify I am a Registered Professional Civil Engineer holding
registration number 7885569 in the state of Utah. I declare all conditions of plan approval were
accomplished for the Penney’s Grill Chlorinator (TP001); Penneys Grill Water System, System
#23075, File #13047 per the plan approval letter dated October 16, 2023 for installation of a
liquid sodium hypochlorite chlorinator system, Stockton, Utah. The following plan changes
were made during construction: larger 12-inch PVC pipe for chlorine contact time was replaced
with two (2) 80-gallon disinfection tanks to provide chlorine contact time and this allowed the
contractor to keep the existing pressure tank and hot water heater in the same location
minimizing piping changes. These changes are reflected in as-built “record” drawings submitted
to the Division of Drinking Water dated September 26, 2024. I also certify that the project is in
conformance with the State of Utah Division of Drinking Water Rules and Regulations and that
the water system owner has received a copy of the as-built “record” drawings and operations and
maintenance manual.

Robert J. Rousselle, P.E.
Utah Reg. 7885569
09/26/20243/31/2025