1855 Carnelian Lane - COCCity of Eagan
City Approved: _
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 5 - 1(
COMPLIANCE WHIT INITIAL INSPEC HON
This is to certify that the property listed above has been inspected by authorized City personnel on S , 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
7 Ihis 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 City Plumbing Permit
NOTE: Applicable only if box is checkedased 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 a p tent blockage due to:
Grease Build-up, Root Intrusion, Dip /Settlement in Pipe, Other,: t )� - ` r{r y t v cd
Signature
1 ` Din i
Date
City of bp
Yellow Copy: City of Eagan (Parcel File) rev 2 23.2010