2037 Carnelian Lane - COCCity of Etall
City Approved: t
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: C Y'L i a-0- Let is
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on 3, 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
n 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 n City Plumbing Permit
NOTE: Applicable only if box is checked Hurd on a review of the Sewer Service video inspection /report on file, it is
recommended thatperioiie_cleaning or, future inspections be performed to mini: ize a potential blockage due to:
Grease Build -u , oot Intrusion Dip /Settlement in Pipe, Other: l -S f� 15g
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Signature Date
City of Ea pP1
Yellow Copy: City of Eagan (Parcel Pile) rev 2 23.2010