1779 Carnelian Lane - COC411 City of Emil
City Approved: — TS - CAA",
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: I 1`1q l \ cue,—
COMPLIANCE WIIH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on L~ 'J , 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 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 1 1 City Plumbing Permit
NOTE: Applicable only if box is checked:'-JBased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning or future inspections be performed to .minimize apo(ential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other, Sc " / � C � 0,3
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Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
City of Evan
rev 2 .23 2010