1976 Shale Lane - COC4111 City of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: tq 7 CP $ et le L -,
COMPLIANCE WITH INITIAL INSPECTION
F4 Ihis is to certify that the property listed above has been inspected by authorized City personnel on QG t' Z ! , 201]
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER C ORREC I IVE WORK PERF ORMED
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 corrective repair work under (check all that apply):
n City Sanitary Sewer Permit 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:
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eapll
rev 2 23 2010