4479 Clover Lane - COC4 City of Ea 11
City Approved:
City Sanitary Sewer Permit
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan,
+ Minnesota
Property Address: 1I7 �t CIO Y" L-
COMPLIANCE WIIH INITIAL INSPECTION
gl Ihis is to certify that the property listed above has been inspected by authorized City personnel on 0 7 / l , 201_t
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AI IER 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):
Print name
U City Plumbing Permit
NOTE, Applicable only if box is checked: 1 1Based 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:
Date
Signatu
Yellow Copy: City of Eagan (Parcel F ile)
4 City of Evan
rev 2 23 2010