1799 Carnelian Lane - COCCity of Ea oll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea.11
City of Eagan, Minnesota
Property Address: 1 — 1 ° t i R el .LLV vLJ�� �C� v L.
COMPLIANCE WIIH INIIIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 2011
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 Ibis 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):
ri City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked.: OBased on a review of the Sewer Service video inspection /report on file, it is
recommended that per re cteanit1g or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, R tlntrarsion, _ p /Settlement in Pipe, Other:
City Approved: 4J1-- kip /
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010