1896 Bear Path Tr - COC41 City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fbr
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr aperty Address: 1 B-ea <( 0c \ rGt
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on j , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERF ORMED
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):
n City Sanitary Sewer Permit 1 City Plumbing Permit
NOT& Applicable only if box is checked„ 1 1Sased on a review of the Sewer Service video inspection /report on file, it is
recornmended 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: � i tm
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
City of Eapil
rev. 2 23.2010