4358 Bear Path Tr - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Evan
City of Eagan, Minnesota
Property Address: 4'3 o. P L i r
COMPLIANCE WITH INITIAL INSPECTION
-- Ihis is to certify that the property listed above has been inspected by authorized City personnel on 6 -i o , 201
and fbund to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
LJ 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOM: Applicable only if box is checked: 1 'Based 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: 1..
Print name
White Copy: Property Owner
k �
Signature
Yellow Copy: City of Eagan (Parcel Pile)
Date
rev 2 .23 2010