1681 Walnut Lane - COCCity of kaIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Ea il
City of Eagan, Minnesota
Pr operty Audi ess; ��—
COMPLIANCE WITH INITIAL INSPECTION
VLF Ihis is to certify that the property listed above has been inspected by authorized City personnel on - D -, 201_ 1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
n 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 n City Plumbing Permit
NOTE Applicable only if box is checked: Based on a review of the Sewer Set 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 Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
mot. l- A-L
Print name
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
rev 2.23 2010