4370 Rahn Rd - COCCity of EaRail
I�
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
43"t 20 cJ
COMPLIANCE WIIII INITIAL INSPECTION
g This is to certify that the property listed above has been inspected by authorized City personnel on 6 - / , 201_1
and found to be in compliance with Section .3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
This is to certify that the property listed above has been found to be h 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 Ti 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:
City Approved: J �n l `» L I ; �A'A,tcL / / ' ' 1 . (
Date
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eapall
rev 2.232010