Application for Dye Test/Sanitary Sewer Certification
Fee $30
Any person selling or mortgaging real property (hereinafter "applicant") located within the Borough shall make application on a form furnished by the Borough at least 21 days before the date of sale or mortgage. Applicant shall have a plumber who is registered and licensed by Allegheny County Health Department perform a dye test on the property to be sold, transferred, assigned, mortgaged or refinanced. Such plumber shall complete the appropriate portions on this form and certify that the property has been dye tested and certify the results of such test.
Property Address
*
Property Owner
*
Owner's Address if different from above
Telephone
*
Please enter a valid phone number.
Email
*
example@example.com
Type of Transaction
*
Sale
Refinance
Illegal Storm or Surface Water Connections
The discharge of rain or surface water directly or indirectly into the sanitary sewer system of the Borough of Carnegie which is to be only for the drainage of sanitary sewage.
Illegal Discharge
In no case shall collected surface or storm water be allowed to drain over sidewalks or driveways, or onto adjacent properties where the water can create soil erosion or have adverse effects on a structure, or be discharged in a manner that creates a public nuisance.
Dye Test Conducted By
*
Date
*
Company
*
Telephone
*
Company Address
*
I hereby certify that the property has been dye tested and certify that the results of this test indicate there are no illegal connections or discharges.
Plumber
*
HP#
Signature
Clear
Date
-
Month
-
Day
Year
Date
Submit
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