2086 Carnelian Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of kali
City of Eagan, Minnesota
Property Address: Q- C Y\'2-t i CLV\ '
COMPLIANCE WITH INIIIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 2010
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required.
COMPLIANCE AFIER 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):
n City Sanitary Sewer Permit C City Plumbing Permit
NOTE.: Applicable only if box is checked.: ` t ased 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, of intrusion, ! ip /Settlernent in Pipe, Other: _S
City Approved: E Vvt (LIAA - A •
Print name
White Copy: Property Owner
Signature
1--\ -c Ito sitq f a-v iA
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23, 2010