4341 Bear Path Tr - COC41 City of Eapn
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 434 1 2�Y P0-4 v YCL G
COMPLIANCE WITH INIIIAL INSPECTION
F1 This is to certify that the property listed above has been inspected by authorized City personnel on ° , 201 i
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
n 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 i City Plumbing Permit
White Copy: Property Owner
City of Eatall
NOTE: Applicable only if box is checked:' U&ased 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 potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 6Nt.
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev. 2 23 2010