4061 Halite Lane - COC41,10. City of Eapn
C
n City Sanitary Sewer Permit I 1 City Plumbing Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fox
INFLOW & INFILTRATION
City Approved: ti Lt `. I I '1I-1/16 I
Print name
Signature Date
City of hp
City of Eagan, Minnesota
Pr operty Address: 1 '4 C{9 l ice.-\ k
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 5 3 , 204
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was r equired
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):
NOTE: Applicable only if box is checkedBased on a review of the Sewer Service video inspection /report on file, it is
recommended that perio ic clung or future inspections be perfortnedinimize a potential blockage due to:
Grease Build -up, R of Intrusiog ipL5ettlement in Pipe, Other:
Yellow Copy: City of Eagan (Parcel File) rev 2. 2 . 3 2090