1821 Turquoise Tr - COC4 City of Eagan
n City Sanitary Sewer Permit
City Approved: l`tv 4'-m
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: � Lev C Lt_C
COMPLIANCE WITH 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):
I I
City Plumbing Permit
NOTE: Applicable only if box is checked: 'IBased on a review of the ,Sewer Service video inspection /report on file, it is
recommended that periodic Jean g or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, otIntrusion 0/Settlement in Pipe, Other: D:3-C G l
Signature
Yellow Copy: City of Eagan (Parcel F ile)
i t
Date
City of bpi
rev. 2 23 2010