1760 Monterey Lane - COCCity of Eapll
COMPLIANCE WITH INITIAL INSPECTION
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ) - 76:2( ' ✓� ._
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City Approved: °t 1 ti� �, 1 _y �� , r .
Print name Signature .T v
Date
City of Eagan
This is to certify that the property listed above has been inspected by authorized City personnel on , 201
and found to be in compliance with Section 3 40 of the City Code and no corr ective 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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit Pff City Plumbing Permit
NOTE:. Applicable only if box is checked: UBased 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, Others
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010