3849 Lodestone Cir - COCCity ofall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 35 bC40 l l CL
City of Evan
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 3` , 201 1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n Ihis 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 City Plumbing Permit
NOTE: Applicable only if box is checked, 1 (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 apotential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other;
City Approved: S_.j_ lnti k i,L` -- kr ,
White Copy: Property Owner
Print name Signature
f 3� )3-®i
Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010