2050 Carnelian Lane - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
€3 5 C1 C.U.A c (A
City of Ea all
COMPLIANCE WITH INIIIAL INSPECTION
0 --This is to certify that the property listed above has been inspected by authorized City personnel on S - D`Lk , 2020_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER 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):
n City Sanitary Sewer Permit n City Plumbing Permit
!VOTE: Applicable only if box is checked: Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 1 Vv1 [- C k.
Print name
White Copy: Property Owner
e„. V\a-t 1 ` I — 1
Date
Signature
Yellow Copy: City of Eagan (Parcel F ile)
rev 2.23 2010