4580 Lake Park Dr - COC4 111 City of Eapil
1
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Proper Address: ..} 5 O ,... COL 2CL Y )(�
City Sanitary Sewer Permit I City Plumbing Permit
4 11/ City of EaRall
COMPLIANCE WITH INITIAL INSPECTION
1 is to certify that the property listed above has been inspected by authorized City personnel on f 1 ' k 1 2010
and found to be in compliance with Section 3.40 of the City Code and no corr ective 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):
NOTE: Applicable only if box is checked: UBased 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: \ Vw ,lti "`
Print name
White Copy: Property Owner
utk-A6
Signature
Yellow Copy: City of Eagan (Parcel File)
a--/D6 11
Date
rev 2 23 2010