1654 Walnut Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Eagan
City of Eagan, Minnesota
Property Address: 1 1 v�- VU.J Le
COMPLIANCE WITH INITIAL INSPECTION
[)ThlEis is to certify that the property listed above has been inspected by authorized City personnel on -1') 201 i
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
I 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 Service video inspection /report on file, it is
recommended that periodic cleaning or fixture inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: On. Al A i l // J it
Signature D ate
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010