4489 Clover Lane - COCCity of Etau
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of EaOall
City of Eagan, Minnesota
Property Addr 4 4 c 6 9 Cto Vtf
COMPLIANCE WITH INITIAL INSPECIION
g This is to certify that the property listed above has been inspected by authorized City personnel on O 6 / ZZ , 201
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
I
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):
n City Sanitary Sewer Permit n 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 per iodic 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: \ lames
Print name
White Copy: Property Owner
71-1
Signature Date
- 7 r 5
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23 2010