1816 Cinnabar Ct - COC11 City of bp
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eaaall
City of Eagan, Minnesota
Property Addl ess: 1. L v A 4 30 &v Lt_v
COMPLIANCE WITI4 INITIAL INSPECTION
'This is to certify that the property listed above has been inspected by authorized City personnel on , 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
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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE Applicable only if box is checked:ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perf med to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip/ � e ttlement in Pipe, Other: ro�2 'j K3" 7 q [1
l�r' (im th ` s- ' f L{ p VV
City Approved: �v�� / LM.�- f 3 I ( 1 1 I
Print name Signature Date
Yellow Copy: City of Eagan (Parcel f ile) rev 2 23 2010