4419 Clover Lane - COCCity of Eapll
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: Li 1. I a vQ
COMPLIANCE WTIII INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 0 6 izq , 2011
and found to be in compliance with Section 3 .40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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):
City Sanitary Sewer Permit City Plumbing Permit
411 City of Eau
NOTE: • Applicable only if box is checked.: used on a review of the Sewer Service video inspection /report on file, it is
recominended 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,:
� 15 5.
Signature
Yellow Copy: City of Eagan (Parcel F ile)
rev 2