2017 Carnelian Lane - COC4,01. City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: D-6 1 ` Ca i` to P.t i`{ v. (A, #/t
City of Eap
COMPLIANCE WITH_ INITIAL INSPECTION
Ihis is to certify that the property Iisted above has been inspected by authorized City personnel on , 201
and found to be in compliance with Section 3 .40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORREC 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 n City Plumbing Permit
NOTE: Applicable only if box is checked,: - Based on a review of the Sewer Service video inspection /report on file, it is
recommended that per cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up ootIntrusion)Dip /Settlement in Pipe, Other. CoD -C
City Approved:
White Copy: Property Owner
\ 1/2CILUS / YVY 4 i i " hc I c
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.2.3.2090