1472 Thomas Lane - COCCity of E.all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Addr ess:
COMPLIANCE WITH INITIAL INSPECTION
....A This is to certify that the property listed above has been inspected by authorized City personnel on 4 , 2010
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
1
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):
I
City Approved:
City Sanitary Sewer Permit j City Plumbing Permit
NOTE: Applicable only if box 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 _to1m inx ize a pots tial blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: Ob - t I il -fm,vs IJa. IA 'F
White Copy: Property Owner
City of Eagan, Minnesota
— 30010L Lvj
Yellow Copy: City of Eagan (Parcel File)
4 /1/ City of EagaIl
rev 2 23.2010