1456 Steeplechase Lane - COCCity of Eaftall
City Approved: V Ea h 777
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Ps !vet ty Address: N5 S E C1 6 1.
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 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 (cheek all that apply):
C City Sanitary Sewer Permit 1 City Plumbing Permit
g natu e
Yellow Copy: City of Eagan (Parcel File)
NOTE; Applicable only if box. is checked: (Based 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 potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
I • /11
Date
City of Eaal
rev 2 23 2010