1479 Lake Park Cir - COC4 /116 City of EapIl
City Approved: i v\ are 1,e k / / / `-q r /3-6 ((l
Print name Signature Date
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: LA I P & Ct f �
COMPLIANCE WITH INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on L6 LLa-a 201 C)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
H 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 corr ective repair work under (check all that apply):
City Sanitary Sewer Permit Fl City Plumbing Permit
NOTE: Applicable only if box is checked: !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:
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
City of Eapil
rev 2 23.