4491 Clover Lane B - COC1
City of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit n City Plumbing Permit
City of Eagan
City of Eagan,
\\ Minnesota
Property Address: t c l 1(6' C I0 v e i' L1
COMPLIANCE WITH INITIAL INSPEC IION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 0 , 2011
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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 thal apply):
NOTE: Applicable only if box is checked: 1 (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: J rtit
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev. 2.23 2010