4390 Bear Path Tr - COC411 City of Eapu
II
City Approved: J4 '4E-5 / 717
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1- AO J &af 1 f r f
COMPLIANCE WITH INIIIAL INSPEC IION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 662 / 0 , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective w ork was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
I j 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):
City Sanitary Sewer Permit I City Plumbing Permit
NOTE: Applicable only if box is checked: '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:
Signa re
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
7// 1i
Date
City of kap
rev 2 23 2010