4859 Richard Lane - COCCity of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: `A- C i a C A a LA-A/C
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City '':
Y p tY Y Y ersonnel on
p
and found to be m compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE 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):
1
City Sanitary Sewer Permit
NOTE: Applicable only if box is checked: jBased 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:
r 7'r f
White Copy: Property Owner
Prini name
City Plumbing Permit
Signature
Yellow Copy: 'City of Eagan (Parcel File)
I 'x
Date
41
City of Eatall
, 201
rev. 2.23.2010