4361 Bear Path Tr - COC41 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 43 (.0 1 1 eo Y r
COMPLIANCE WITH INITIAL INSPECTION
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Emil
Ibis is to certify hat the property listed above has been inspected by authorized City personnel on , 201
fY r
P' P ty P Y tY P
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE 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):
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:
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City Approved: {� �:`�`�C�i�l -� -- I \A / l
Print name Signature Date
rev 2.232010