1780 Monterey Lane - COCCity of Evan
City Approved: --- ..AA
Gam;;
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1'7 S Ni CC 41.
COMPLIANCE WITH INITIAL INSPEC IION
This is to certify that the property Listed above has been inspected by authorized City personnel on 241
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERIIORMEI)
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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE' Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfo med to minimize a potential blockage due to
Grease Build -up, ' oot Intru Dip /Settlement in Pipe, Other: l
Yellow Copy: City of Eagan (Parcel F ile)
V3.7 3--O t
Signature Date
City of Ea at
rev 2 23. 2010