3847 Lodestone Cir - COCCity of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 7 / ` % .. G' { r -7/ 6 777 r`
COMPLIANCE WIIH INITIAL INSPECIION
This 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 corr ective 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):
❑ City Sanitary Sewer Permit ,4/ City Plumbing Permit
NOTE . Applicable only if box is checked: 1 Based on a r eview of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other,
/_.
(77
City Approved: 4 7. �. L'� ' �� a rI ) 9 .C���� � � ��_i''� /sus �. 1 4 (
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eapil
rev 2 23 2010