1830 Walnut Lane - COC401. City of Bapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapll
City of Eagan, Minnesota
Property Address: 77 0 LJc f tit fit f L
COMPLIANCE WIIH INITIAL INSPECTION
g This is to certify that the property listed above has been inspected by authorized City personnel on d G y , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF 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 requited corrective r epair work under (check all that apply):
City Sanitary Sewer Permit 1 1 City Plumbing Permit
NOTE: 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 Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.
City Approved: Ji
Print name
White Copy: Property Owner
Sfgnatu = Date
Yellow Copy: City of Eagan (Parcel F ile)
7
rev 2 23.