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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