4048 Halite Lane - COCCity of Ea all
n City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Plumbing Permit
City of E .fall
City of Eagan, Minnesota
Property Address: L} 0 4 CI
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE 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):
NOT Applicable only if box is checked: 1 (Based on a review of the Sewer Service 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: t Vi C4CL.J / 4OLLZbk
Print name U Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
6 /;41 - D-0 i,
Date
rev 2.23 2010