037-6 Wyo. Code R. §§ 6-2 - Engineers Certificate
CERTIFICATE OF ENGINEER OR SURVEYOR
STATE OF WYOMING )
)SS.
COUNTY OF_______ )
I,_______________________________________________of
____________________________________________hereby certify that this plat was made from notes taken during an actual survey made by me on________________, 19__, (or made on_______________, 19__, under my direction by_______________________, for whose work I stand personally responsible). Such survey is accurately represented on this plat, and correctly shows the location of the well(s) and acreage under irrigation at the time of the survey (or correctly shows the location of the well(s) and point(s) of use at the time of the survey).
(Signed)_____________________________
(Engineer or Surveyor)
Wyoming
Registration No.__________
(Indicate - PE and/or LS)
CERTIFICATE OF SURVEYOR
STATE OF WYOMING )
)SS.
COUNTY OF_______ )
I,_______________________of__________________hereby certify that this map was made by________________________on_______________, 19__, and correctly shows the location of the well(s) and point(s) and area(s) of use at the time this map was prepared.
(Signed)_____________________________
(Engineer or Surveyor)
Wyoming PE or LS No._____
NOTE: All certificates should also credit the use of information obtained from other sources where other sources are used. Care should be taken that certification indicates the source of all information shown on the map.
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Notes
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