2078 Carnelian Lane - COCCity of Eai ,all
1
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 2- 0 7 Cie r 1 4 V l
City Sanitary Sewer Permit [[ City Plumbing Permit
E
Print name '�' Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
COMPLIANCE WITH INIIIAL INSPECTION
Ihis is to certify that the properly listed above has been inspected by authorized City personnel on , 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE_AP T ER 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 required corrective repair work under (check all that apply):
NOTE: Applicable only if box is checked; nBased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning or future inspections beperformedto minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
e1 c.,1-.11 era . %/ 1 /
Date
rev 2.23 20/0