1386 Camelback Dr - COC41 City of Emil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: C_Ci yli . L . \ 1e'
COMPLIANCE WIT FI INI T IAL INSPEC IION
2 This is to certify that the property listed above has been inspected by authorized City personnel on 1 D - - I 0, 2010
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
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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE, Applicable only of box is checked..1 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 a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: .� k OA_
Print name
I 11
Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
Date
City of Iaftall
rev 2 23 2010