4545 Lenore Lane - COCCity of EaRaIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagall
City of Eagan, Minnesota
Property Address: 5W hoYL Lio
COMPLIANCE WITH INITIAL INSPECTION
!b1 This is to certify that the property listed above has been inspected by authorized City personnel on 06 h , 201 /
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
I
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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: [jBased on a r eview of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or fixture inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
c5
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2.232010