1761 Walnut Lane - COCCity of hp
City Approved:j
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
Print name
City of Eagan, Minnesota
/ 769 / \J
COMPLIANCE WIIH INITIAL INSPECIION
CK This is to certify that the property listed above has been inspected by authorized City personnel on 9 Ilgt
and found to be in compliance with Section 3 40 of the City Code and no conective 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 wor under (check all that apply):
U City Sanitary Sewer Permit City Plumbing Permit
/ — / 4 1 1 /
Signature Date
City of EaRail
,201!
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 to minimize a potential blockage due to :'
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010