3960 Pumice Lane - COCCity of Eagan
City Sanitary Sewer Permit
City Approved: vk OrC - (..
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: Q (cU L V \ C l V\ 9-
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 1 , 201 I
and found to be in compliance with Section 3.40 of the City Code and 110 corr ective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
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 (check all that apply):
NOTE: Applicable only if box is checked:. UBased on a review of the Sewer Ser vice 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 Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
4 City of kali
/ ° X 1 1
Date
rev 2. 23 2090