1720 Monterey Lane - COCd e ll ' City of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ?L
4 City of Eagan
COMPLIANCE WI II INITIAL INSPECTION
JZ This is to certify that the property listed above has been inspected by authorized City personnel on L " - , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER 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 7 City Plumbing Permit
NOTE: Applicable only if box is checked +:f4Based 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 paten a bloc age due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other„ / .,4L C _.(` h - Lf-(o - '-�
City Approved: 3
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
=3"
rev 2.23 2010