4867 Richard Lane - COC411 City of Ea Rail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 'lab tc ` I C AL
City of hp
COMPLIANCE WITH INITIAL INSPECTION
is to certify that the property Iisted above has been inspected by authorized City personnel on 1. ° 4 , 20I_0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was r equired
COMPLIANCE AFTER CORRECIIVE 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: I lBased on a review of the Sewer Service video inspectionheport on file, it is
recommended that per iodic cleaning or future inspections beperformed to minimize a potential blockage due to:'
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: r un, /
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
20 I
rev 2 23 2010