1756 Walnut Lane - COCCity of Evan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
W
Property Address: 1 L G.A
City of Earn
COMPLIANCE WITH INITIAL INSPECZION
F F — his is to certify that the property listed above has been inspected by authorized City personnel on ° 19_ , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORREC IIVE 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE; Applicable only if box is checked Bused on a r eview 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, oot Intrusio , Dip /Settlement in Pipe, Others S
City Approved: 1,'1N� l t/vtr� 1/ l ' !I �I o'C) 1�
Print name v Signature Date
Yellow Copy: City of Eagan (Parcel I ile) rev. 2 2.3 2010