1865 Jade Lane - COCray of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Bap
City of Eagan, Minnesota
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PropertyAddtess: { 6 V 2-_-eL
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on '1/1 9 , 201
and found to be in compliance with Section 3.40 of the City Code and no cor rective work was required.
COMPLIANCE AFTER 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):
City Approved: kJC
Print name
White Copy: Property Owner
City Sanitary Sewer Permit 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 perfor med to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
L_ //i Date S /4/1 Signa
Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2010