1940 Carnelian Lane - COCCity ofEakaa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapa
City of Eagan, Minnesota
Property Address: 19 0 Cep 4\ -Ck1/4 o. LICK 111-'
COMPLIANCE WITH INITIAL INSPEC LION
an ns is to certify that the property listed above has been inspected by authorized City personnel on �' l , 201_O
d found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFYER CORREC IIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checke ed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperforf ed to minimize a potential blockage due to:
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other: Y"3 6 ( p' Q ~� \ G i L `j --
d S-6-) �1
L
City Approved :
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010