All wastewater discharge permit applications and user reports must be signed by an authorized representative of the user and contain the following statement:

"I certify under penalty of perjury under the laws of the State of Washington that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing of violations."

Such declarations shall include the date and place of execution.