2240 Liberty Lane - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
t This is to certify that the property listed above has been inspected by authorized City personnel on , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective wor was required.
COMPLIANCE AE TER CORRECTIVE WORK PERFORMED
I
Ihis 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
41 City of Eagan
NDIE: 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:
City Approved: 1 VA- L / \_ �y� � I ` DC? l )
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2090