4073 Limonite Lane - COC40 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
'l City of EapIl
City of Eagan, Minnesota
Property Address: Lc ; �
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed abo+,e has been inspected by authorized City personnel on , 201 )
and found to be in compliance with Section 3 40 of City Code and no corrective work was required
COMPLIANCE AFIER CORRECTIVE WORK PERFORMED
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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):
n City Sanitary Sewer Permit I City Plumbing Permit
NOTE: Applicable only if box is checked. "` ased on a review of the Sewer Service video inspection /report on file, it is
recommended that per .e ' ing or future inspections be performed to minimize a potential blockage due to
Grease Build -up, ootIntrusi, i 1 'p /Settlement in Pipe, Other: • L)
City Approved: V1,L
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Pagan (Parcel File)
s7i f
Date
rev 2 23 2010