4448 Clover Lane - COC4 City of EtaIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ekan
City of Eagan, Minnesota
Property Address: LI 4 C Lo vvr L 1
COMPLIANCE WIT IT INITIAL INSPEC
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 66 (1-1- , 201f
and found to be in compliance with Section 3 40 of the City Code and no conective work was required.
COMPLIANCE AF I ER CORRECTIVE WORK PERFORMED
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 7 City Plumbing Permit
NOTE: Applicable only if box is checked, used 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, Others
City Approved: JF 'kl 3
Print name
Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
/ ' 7/1
Date
rev 2.23 2010