4847 Richard Lane - COCCity of EaRail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
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Property Address: 1 "1 'a � i L V \C- i� -4-
COMPLIANCE WITH INITIAL INSPECTION
kg-- 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 corr ective work was required.
COMPLIANCE AFTER 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):
City Sanitary Sewer Permit City Plumbing Permit
City Approved: _ 1 On. �;.�..
Print name
White Copy: Property Owner
11 City of Eagan
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!VOTE: Applicable only if box is checked: L]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 Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
\— t eLL,3 I e r , X 13 / -C
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010