1916 Carnelian Lane - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: b 1( .. l O.- KJ
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on ` 3 , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was requited
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 ❑ City Plumbing Permit
White Copy: Property Owner
City of Eagan
NOTE: Applicable only if box is checked:./3ased on a review of the Sewer Service video inspection /report on file, it is
recommended thatpecleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot Intrusio.Dip/Settlement in Pipe, Other 7 ."
mE 1A_P �.. Sa6. cLQ O i - 0
City Approved: t Ll V� I �� ' ! D
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2.23 2010