4368 Bear Path Tr - COCkP City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota {}
Property Address: l` ,� ��� �,- Ped-L I
COMPLIANCE WITH INITIAL INSPECTION
City of Eapn
2 Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 20f_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AP IER CORRECTIVE WORK PERFOR 'TED
C 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
NOTE: Applicable only if box is checked: ❑Based on a review of the Sewer Set vice 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.;
Cit Approved:
Print name
White Copy: Property Owner
'/ r
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010