1775 Monterey Lane - COCCity of Eapll
City Approved:
L w\ A
Print name
White Copy: Propert Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: i t6 \A- t. {",C
COMPLIANCE WITH INITIAL INSPECTION
P---This is to certify that the property listed above has been inspected by authorized City personnel on a _q 201_[
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit I City Plumbing Permit
City of EaRaIl
NOTE.: Applicable only if box is checked, I '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:
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010