1900 Carnelian Lane - COC411 City of Ealall
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fbr
INFLOW & INFILTRATION
PI operty Address:
City of Eagan, Minnesota
City Approved: jklilt #01 ! /
Print name
l ' C
COMPLIANCE WIT H INITIAL INSPEC TION
Ihis is to certify that the property Listed above has been inspected by authorized City personnel on 4 1 . g , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was require
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
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 requited corrective repair work under (check all that apply):
City Sanitary Sewer Permit 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:
Signature
Yellow Copy: City of Eagan (Parcel F ile)
v l // //
Date
d e ll ' City of Eagan
rev. 2 23 2010