2033 Carnelian Lane - COCCity of Ea pl
City Approved: 1T VA-
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: V V.-WA
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on - 1 ( , 201 C
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORREC IIVE WORK PERFORMED
fl 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 City Plumbing Permit
NOTE: Applicable only if box is checked.; riBased on a review of the Sewer Ser vice video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
City of Eap
/Z2 k.)-6 /
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2.2.3 2010