4007 Limonite Lane - COCCity of Eagan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of Eapn
City of Eagan, Minnesota
i
Property Address: 4 1 _\ ■ A
COMPLIANCE WITH INITIAL INSPECIION
▪ Ihis is to certify that the property listed above has been inspected by authorized City personnel on 5- , 201]
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n Ihis 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 n City Plumbing Permit
NOTE: Applicable only if box is checked used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minim ze a otential higrockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: (Y\, k.;� e C LQ 5-, \PA_
City Approved: / A -- / •)
Print name Signature Date
rev 2 23. 2010