3813 Lodestone Lane - COC1 City of Emil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of Eagan, Minnesota
Property Address: J 1 j O a'eSVL) vim ._6..1/‘-- tW
COMYIPLIANCE WIT FIINITIAI,INSPECT ION
This 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 corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
n Ihis is to certify that the property fisted above has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the required corrective r epair work under (check all that apply):
n City Sanitary Sewer Permit 1 1 City Plumbing Permit
City Approved: l t' _ /
Print name
NOTE: Applicable only if box is checked., 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.:
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev. 2 23.2090