3888 Cinnabar Dr - COCCity of Baran
City Approved: 1 vq"
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ) ( 1% aA. Vk.,Cd= Cn t' { \ \ -
City of kali
COMPLIANCE WITH INITIAL INSPECTION
P Th Ihis is to certify that the property listed above has been inspected by authorized City personnel on l , 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE 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 r equited corrective repair work under (check all that apply):
fl City Sanitary Sewer Permit fl 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 or future inspections be performed to minimize a potential blockage due to:
Grease Build -u, Root Intrusio Di. /Settlement in Pipe, Other: c E �
Print name
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
3 / a /ad
rev 2 23 2010