891 Ivy Lane - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
C H ;1A1 1f T
COMPLIANCE WIIH INITIAL INSPEC IION
This is to certify that the property listed above has been inspected by authorized City personnel on 1MAk. ' , 2011
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TIVE 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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE; Applicable only if box is checked: used 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, Others
City Approved: ` i A ,5 4 CA °; °//k) �I I 3 ) 1 t
Print name Signature ' Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
City of Eagail
rev 2. 2010