4779 Richard Lane - COC41 City of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan
City of Eagan, Minnesota
Property Address: L " `l C ‘1(,'�Y
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City '�5
�' p p t3' p y ty personnel on � , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AI TER CORRECTIVE 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):
1
City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked: nBased on a r eview 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 Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved: a i Vv\..
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
/ f t
Date
rev 2 23 2010