3819 Lodestone Lane - COCCity of Ekau
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
COMPLIANCE WITH INIIIAL INSPECTION
g .LILLis is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section .3 .40 of the City Code and no corr ective work was required.
COMPLIANCE AF TER CORREC TIVE 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 corrective repair work under (cheek all that apply):
City Sanitary Sewer Permit fl City Plumbing Permit
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:
City Approved:
Print name
White Copy: Property Owner
City of Eagan, Minnesota
VA r&
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
l e l ' City ofEkaIl
} 3 L ,201 j
rev. 2 23. 2010