3843 Lodestone Cir - COC4 City of EtaIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 34.� +Th 0-5.6 YL2 C 1 cJ
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 20l
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
7 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 satisfactor ily completing the required corr ective repair work under (check all that apply):
City Approved:
City Sanitary Sewer Permit [ City Plumbing Permit
4 1j. City of Eagan
NOTE: Applicable only if box is checked: jased 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, Roo{Intru ion, Dip /Settlement in Pipe, Other:; #'C } L i ?? 44
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010