2030 Bluestone Lane - COCCity of Eap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:, !' � % ' V °) C ✓'\ E --- ✓'•
COMPLIANCE WITH INIIIAL 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 corrective work was required
COMPLIANCE AF IER CORREC LIVE 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 [ City Plumbing Permit
I
NOTE: Applicable only if bo.x.is checked: 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City of hap
City Approved: f tr f � (. b'� / t
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010