4019 Pumice Lane - COCCity of Eap
City Approved: G -
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: L k u
COMPLIANCE WITH INITIAL INSPECTION
r This is to certify that the property listed above has been inspected by authorized City personnel on S 5 , 201_
and found to be in compliance with Section 3 40 of the City Cocte and no corrective work was required•
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
n 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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE Applicable only if box is checked:.I 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
Print name
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
4 4 1 !I I ' City of Eapll
rev 2 23 2090