4374 Rahn Rd - COC411 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Evan
City of Eagan, Minnesota
Property Address: 4 37'1 /ali in 4
COMPLIANCE WITH INITIAL INSPEC I ION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 0 G ZU , 201.
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
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):
NOTE Applicable only if box is checked: Based on a review of' the Sewer Service video inspection /report on file, it is
recommended that per cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
City Sanitary Sewer Permit a City Plumbing Permit
White Copy: Property Owner
Print na ~ e Signatu % Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010