1791 Carnelian Lane - COC41 City of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 119 ( Lei IA
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 4 - [ , 201_
and fbund to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECIIVE 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 City Plumbing Permit
NOTE. Applicable only if box is checked a ed 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 � 4potential blockage due to:
Grea Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.: \ t V� J c� C� ' C _
l
City Approved: 1
Signature
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
City of Evan
Date
rev 2.23 2010