2139 Carnelian Lane - COCCity of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ewa
City of Eagan, Minnesota
Property Address:�{ C,. 1r1'e.,1 V°
COMPLIANCE WITH INITIAL INSPECTION
'"'This is to certify that the property listed above has been inspected by authorized City personnel on ea.- , 201_0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TIVE WORK PERFORMED
pi 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):
Fr City Sanitary Sewer Permit fl City Plumbing Permit
NOTE, Applicable only if box is checked: `fir,. sed on a review of the Sewer Service video inspection /report on file, it is
recommended that i th g or future inspections be performed to minimize a potential blockage due to.:
Grease Build -up, oot I settlement in Pipe, Other: C. I -S L3- 6 "
City Approved: kAeltkiiik
Print name
White Copy: Property Owner
\ocA,v, l -er (' / / / a-6 r D
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2.23 2010