3837 Lodestone Cir - COC41 City of Eapa
City Approved: Jt.J
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 3'63 0E r t..k C •
COMPLIANCE WITH INITIAL INSPECTION
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 AF TER CORRECTIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked.: [a d on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to mini ize a potential blockage due to:
Grease Build -up, Root Intrusion, eme t in Pipe, Other: Orl~ 5L r d '
Yellow Copy: City of Eagan (Parcel File)
Date
City of EapIl
rev 2 23.2010