1795 Carnelian Lane - COC41 City of Bapil
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: � ° 1 CO- V vt LC-1- v\
COMPLIANCE WITII INITIAL INSPECIION
71 This is to certify that the property listed above has been inspected by authorized City personnel on 4 , 201 I
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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 n City Plumbing Permit
NOTE, Applicable only if box is checked.: uBased 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 apotential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
, : / X73 j DO i c
City Approved: 1 W� I ,t�
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Ea all
rev. 2 23.2010