1440 Steeplechase Lane - COC)l
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Addt ess: Lid 5 4 Zc.:t -f AJ
COMPFIANCE
WITH INITIAL INSPEC TION
U This is to certify that the property listed above has been inspected by authorized City personnel on°
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AFTER CORRECTIVE 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):
City Sanitary Sewer Permit
U City Plumbing Permit
City of Ea all
City Approved:C3
Print name
White Copy: Property Owner
NOTE: Applicable only if box is checked,' J 1Based on a review of the Server Servi'ce 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, Rootlntfusion, Dip /Settlement in Pipe, Other„
Signature Date
Yellow Copy: City of Eagan (Parcel File)
4 City of Egli
,2011
rev 2.23 2010