2213 Liberty Lane - COCCity of EaRaIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Eapu
City of Eagan, Minnesota
Property Address:
COMPLIANCE WIIII INITIAL INSPECTION
.Ihis is to certify that the property listed above has been inspected by authorized City personnel on - , 201_t
and found to be in compliance with Section .3 40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
Il 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 fl City Plumbing Permit
NOTE: Applicable only if box is checked„ 1 'Based on a review of the Sewer Ser vice 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:
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010