1693 Walnut Lane - COCCity of hap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: (o
COMPLIANCE WIIH INITIAL INSPECTION
.,J This is to certify that the property listed above has been inspected by authorized City personnel on S ` ( , 201_4
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
fl 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):
fl City Sanitary Sewer Permit City Plumbing Permit
NOTE„ Applicable only if box is checked., f$ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning OF future inspections be perforated to minimize a potential blockage due to
Grease Build -up, Bo ntr us,, Dip /Settlement in Pipe, Other: '" i-
City Approved: 1y
Print name Signature
White Copy: Property Owner
Date
i Vi /0
City of Evan
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010