4344 Bear Path Tr - COCCity of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Ea all
City of Eagan, Minnesota
Property Address: 31 y bacir ea- lit Tr
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on Off° /Z-Z , 2011
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
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 required corrective repair work under (check all that apply):
City Sanitary Sewer Permit I 1 City Plumbing Permit
NOTE: Applicable only if box is checked, jBased 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:
City Approved: rJ k'I,t e-S
Print name Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
l 7 is
Date
rev 2 23 2010