1666 Walnut Lane - COCCity of ka ap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: (0(p6 WAIN} 1
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on If /5 , 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
This is to certify that the property listed above has been found to be in compliance with Section .3 40 of he City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
1
White Copy: Property Owner
City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked: used 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 Budd -up, Root Intrusion, Dip /Settlement in Pipe, Otherr
City App.' oved:z !AC 5 /44a r l
Print name Signature Date
City of Eapll
Yellow Copy: City of Eagan (Parcel F ite) rev 2 . 23 2010