1862 Jade Lane - COC111 City of EapIl
City Approved:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
1V02 (3 Lz .
COMPLIANCE WITH INITIAL INSPECTION
xf Ihis is to certify that the property listed above has been inspected by authorized City personnel on Y � , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: jBased 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 a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
Print name
FIS
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Epp
rev. 2 23 2010