2055 Carnelian Lane - COCCity of Evan
City Approved: u34 L.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Add /ess: 5 0 -0 V \A sv "
COMPLIANCE WITH INITIAL INSPEC IION
" 'This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
1 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):
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
I ecommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -u ' Boot Intrusion, : ip /Settlement in Pipe, Other,:
L ` X 1 1 ? 1 R � `: l � 1 ! 1 - 3 a r (C ko °4 O V ce its vI t e-AA ttiS c g
(-/ -oi f
Date
Signature
Yellow Copy: City of Eagan (Parcel F ile)
City Of Eakall
6 i , 2010
rev 223,2010