806 Ivy Lane - Certificate of ComplianceCity of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date
,r-
Name ._' _ )-'
PID Number
House Number
I
r` lf %Disk#
4" to 6 "Transition:
s
Compliance
O No foundation drain connection
11
.O No roof drain connection
,0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
!:: gam
Time., �� pm
Street Name
Alternative; Mailing Address
/Owner/Occupant Signature
Service Lateral Inspection Findings
Roots f y i
i
Poor Pii��pejpints
Mineral beposits
Sag /Pipe €deflection
r
ry
For information calf 651.470.2788
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
1 ;
Number of stacks Entered S L at
Damaged Pipe
Transition
Length of Service: Ca- r 1 •
Yellow Copy: City of Eagan
\
Record Number
Phone
1
r2. L✓ o.
Time s o pm
.7
Inspector Signature
Obstruction
Unable to push past
feet
$ snot 1301
No Access
O No one in
?Final Cleanout:
�iesched
O Inspection
refused
O Access to service
lateral needed
-
Pink Copy: SEH
Number Discharged
Unknown
Notes
i' 1 � „
n I
Total
Correctly
Incorrectly
Sump pumps
_ /
L i --
r�
Foundation drains
f
'/
r
Roof drains
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date
,r-
Name ._' _ )-'
PID Number
House Number
I
r` lf %Disk#
4" to 6 "Transition:
s
Compliance
O No foundation drain connection
11
.O No roof drain connection
,0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
!:: gam
Time., �� pm
Street Name
Alternative; Mailing Address
/Owner/Occupant Signature
Service Lateral Inspection Findings
Roots f y i
i
Poor Pii��pejpints
Mineral beposits
Sag /Pipe €deflection
r
ry
For information calf 651.470.2788
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
1 ;
Number of stacks Entered S L at
Damaged Pipe
Transition
Length of Service: Ca- r 1 •
Yellow Copy: City of Eagan
\
Record Number
Phone
1
r2. L✓ o.
Time s o pm
.7
Inspector Signature
Obstruction
Unable to push past
feet
$ snot 1301
No Access
O No one in
?Final Cleanout:
�iesched
O Inspection
refused
O Access to service
lateral needed
-
Pink Copy: SEH
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 TDD
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
City of Ea�au
August 10, 2010
Re: Sanitary Sewer System Inspection — Certificate of Compliance
806 Ivy Lane
Dear Property Owner,
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,
Thank 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 EAGAN
City of IaRan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Propert3. Address:
COMPLIANCE WITH INITIAL INSPECTION
. This is to certify that the property listed above has been inspected by authorized City personnel on '� j , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
n This 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 required corrective repair work under (check all that apply):
i l City Sanitary Sewer Permit City Plumbing Permit
White Copy: Property Owner
NOTE: Applicable only if box is checked, l !Based on a review of the Sewer. Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize apotential blockage due to:
Crease Build-up, Root intrusion, Dip /Settlement in Pipe, Other.
City Approved: � v� / \ i . ( l
Prins name Signature Date
Yellow Copy: City of Eagan (Parcel File)
/( d
City of Ea all
rev 2 23.2010