4429 Clover Lane B - COC41 City of Ea au
City Approved: JAILIOS 4.4771
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eag an, Minnesota
Property Address: Lill ZQ (0) libVe ' �ir1
COMPLIANCE WITH INITIAL INSPECTION
X . Ihis is to certify that the property listed above has been inspected by authorized City personnel on o61 q , 201L
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
r 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 I j City Plumbing Permit
41 City of EapP
NOTE: • Applicable only if box is checked: 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:
L- i i i 7 1 1 , 5 - 1 1
Signature Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23 2010