2045 Carnelian Lane - COCCity of Eta
City Approved: 1 V1n UL-
White Copy: Property Owner
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fbr
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 6 S Y-c k , C 0-irk
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on �- ` , 201 0
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
Ihis 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 1 City Plumbing Permit
NOM: Applicable only if box is checked.: sed 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 apotential blockage due to:
Grease Build -up ootdntrusro ip /Settlement in Pipe, Other:
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Ear
Date
/ Sit ig- 0
rev 2 23 2010