1643 Covington Lane - COC4,111 City of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: b � 6
City of Evan
COMPLIANCE WITH INITIAL INSPEC TION
his is to certify that the property listed above has been inspected by authorized City personnel on 16- i c�, 201D
and found to be in compliance with Section 340 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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 Per mit
NOTE Applicable only if box is checked:' 1 '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 •
City Approved:
White Copy: Property Owner
k L4-L 4.1..-50.6 J�� I /
Date
Print name U Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010