1814 Walnut Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 $ 1U Wa /' u L
COMPLIANCE WIIII INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on G 7 to 1 , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE 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 cor rective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
NOIE: 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 Buildup, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: l:iiC� L/s>i
Print name
Signature Date
41 City of Eagan
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010