4025 Pumice Lane - COC411 City of Ea aP
L
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
46
Property Address: / U,M imp
4 City of EapIl
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201i
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AT TER 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):
fl City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: Tared on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodie.clean future inspections beperfor ed to min ize a potential blockage due to
Grease Build -up, Rooltrusron, ip /Settlement in Pipe, Other: ' .
City Approved: \ v\' G`T�L t / G / 1° Ad - -- / it
] Date
White Copy: Property Owner
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2232090