1881 Bear Path Tr - COC4 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
1 c
Property Address: cag 5 1 V P V0:4— �
COMPLIANCE WITH INITIAL INSPECIION
"Ztiis is to certify that the property listed above has been inspected by authorized City personnel on ' 201_
r
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
n 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: 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: J A'- l LL -L l
Print name Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
eel C3
Date
City of kap
rev 2.23 2010