2128 Carnelian Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
PiopettyAdd/ ess: i 3 Qe `0,42.ti \11._
City of kw
COMPLIANCE WITH INITIAL INSPECIION
1
Ihis is to certify that the property listed above has been inspected by authorized City personnel on CI 201 �}
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
I
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 City Plumbing Permit
NOTE: Applicable only if box is checked,' used on a review of the Sewer Service video inspection/report on file, it is
recommended that peri, r.' earring or future inspections be performed to minimize apotential blockage due to:
Grease Build-ut •'ootintrusion 'p/Settlement in Pipe, Other `�_ F4- G 1 I -S orf
`Lj2
City Approved:
acro
-.��` Vb� �i�."i-�v�-.- I vVl.� i:�.�'' r� l
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010
City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
PiopettyAdd/ ess: i 3 Qe `0,42.ti \11._
City of kw
COMPLIANCE WITH INITIAL INSPECIION
1
Ihis is to certify that the property listed above has been inspected by authorized City personnel on CI 201 �}
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
I
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 City Plumbing Permit
NOTE: Applicable only if box is checked,' used on a review of the Sewer Service video inspection/report on file, it is
recommended that peri, r.' earring or future inspections be performed to minimize apotential blockage due to:
Grease Build-ut •'ootintrusion 'p/Settlement in Pipe, Other `�_ F4- G 1 I -S orf
`Lj2
City Approved:
acro
-.��` Vb� �i�."i-�v�-.- I vVl.� i:�.�'' r� l
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010