4019 Limonite Lane - COC41 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1' 0 9
COMPLIANCE WIIH INITIAL INSPECTION
1-..This is to certify that the property listed above has been inspected by authorized City personnel on " , 20 1_ I
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC LIVE WORK PERFORMED
n Ihis 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):
City Sanitary Sewer Permit 1 1 City PIumbing Permit
City Approved: vim. L 1 t / C 1 . 6 l j
Print name Signature Date
City of Eapll
NOTE.: Applicable only if box is checked.: ased on a review of the Sewer Set vice video inspectionheport on file, it is
recommended that perio j cieaaning or future inspections be performed to minimize apotential blockage due to;
Grease Build -up, Roo Intrusion Dip /Settlement in Pipe, Other.: 1- 1'1 A
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File) rev. 2 .23 2010