1482 Lake Park Cir - Certificate of ComplianceResidential Sanitary Sewer Service
Inspection
r
Date ri
Name / i � .✓
PID Number
House Number 1.
Alternative Mailing A dress
1
Owner /Occupant Signature
For information call 651.4701788
Compliance
No foundation drain connection
No roof drain connection
'O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
3 5( No sump pump
Service Lateral Inspeftion Findings
Roots ,
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
Street Name
Time r pm
Disk #
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number
Phone / 1, __!
Obstruction
Unable to push past
feet
Number of stacks - ,I Entered S L at
Length of Service: 9i
1
- Sump pumps
Foundation drains
Roof drains
r Total
Number Discharged
Correctly lncorrectly :Unknown
Yellow Copy: City of Eagan
'me
jy
Notes
inspector Signature
_ l �
21,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
;
ilaf / / Final Cleanout:
Pink Copy: SEH
(*' City of Eaftall
Mike Maguire
Mayor
Paul Bakken
Cyndee Fields
Gary Hansen
Meg Tilley
Council Members
Thomas Hedges
City Administrator
Municipal Center
3830 Pilot Knob Road
Eagan, MN 55122 -1810
651 675 5000 phone
651 675 5012 fax
651 454 8535 TD D
Maintenance Facility
3501 Coachman Point
Eagan, MN 55122
651 675 5300 phone
651.675.5360 fax
651 454 8535 TDD
www cityofeagan corn
The Lone Oak Tree
The symbol of
strength and growth
in our community.
July 16, 2010
Dear Property Owner,
CITY OF EAGAN
Re: Sanitary Sewer System Inspection — Certificate of Compliance
1482 Lake Park Circle
the sanitary sewer service to your property was recently inspected by the City as
part of its City -wide Inflow & Infiltration (III) Program I am pleased to inform
you that our inspection indicates that your sewer service system has been found
to be in compliance with Section 3.40 of the City Code..
Your Inflow & Infiltration Certificate of Compliance is enclosed with this letter
This certificate is valuable information to you and for prospective purchasers of
your property and should stay with the compliant property..
Ihank you for your cooperation in this inspection program If you have any
questions regarding this matter, please contact our Utility Division at (651) 675-
5200..
City of Evan
City Approved: 1}Y`
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 2 �--CU �) VTik_
COMPLIANCE WIIIT INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on — , 201C)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
Ihis is to certify that the property listed above has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the r equired corrective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE,. Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning rn future inspections be performed' to mi rimize a potential blockage due to:
Grease Build- ; oot Intrusion, • /Settlement in Pipe, Other
Print name
Signature
Yellow Copy: City of Eagan (Parcel File)
/ p lc /DOf c)
Date
411 City of Eapu
rev 2 23.2010