4074 Limonite Lane - COC41 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Evan
City of Eagan, Minne sota
Propet ty Add ess: z--/D q / ! rw
COMPLIANCE WII H INIT IAL INSPEC T ION
[This is to certify that the property listed above has been inspected by authorized City personnel on
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 PERT O.RMED
/Z 1 , 201A
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 Approved:
Print name
White Copy: Property Owner
City Sanitary Sewer Permit City Plumbing Permit
NOTE.: Applicable only if box is checked: 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 a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
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Signat re
Yellow Copy: City of Eagan (Parcel File)
S110/11
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Date
rev 2 23 2010