1587 Covington Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
City of Eagan
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Property Address:
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was r equir•ed.
COMPLIANCE AF IER CORREC IIVE WORK PERFORMED
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 FXCity Plumbing Permit
NOTE: Applicable only if box is checked: QBased 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: °-) LD l "� ✓t_ I
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i1477
f Print name Sig atvhe Date
White Copy: Property Owner
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Yellow Copy: City of Eagan (Parcel F ile) rev 2.23.