3818 Lodestone Lane - COC41 City of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eap
City of Eagan, Minnesota
Property Address: � 1 _c �STC 1� . La VC—J--
COMPLIANCE WIT fl INITIAL INSPEC IION
P -'Ihis 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 collective work was required
COMPLIANCE AEIER CORRECTIVE 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 corr ective repair work under (check all that apply):
1
City Sanitary Sewer Permit I City Plumbing Permit
NOTE: Applicable only if box is checked: used 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev 2 23, 2D10