1948 Carnelian Lane - COC
SANITARY SEWER SYSTEM
City of ap CERT'IFICA'TE OF COMPLIANCE for 41 City of Eap
INFLOW & INFILTRATION
City of' Eagan, Minnesota
Property Address: lcl4,~k 010-o,-e- , C,-t,- Uct- i-e._
COi'VIPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 201
and found to be in compliance with Section 3 40 of fire City Code and no corrective work was required.
COMPLIANCE AFTER 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):
City Sanitary Sewer Permit F-1 City Plumbing Permit
NOTE, Applicable only if box is checked.ased on a review of the Sewer Service video inspection/report on, fate, it is
recommended thCpe ' eanin g or future inspections be performed to rninimize a potential blockage due to:
Grease Build-up, ntrusion Dip/Settlement in Pipe, Other:
City Approved:l Vyt U-~
Print natne Signature Date
White Copy: Property Owner Yellow Copy: City of Pagan (Parcel File) rev 2.23 2010