4418 Clover Lane - COCCity of 'Evan
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: L N tI C V L
COMPLIANCE WIIH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 06/z i4 , 2011
and found to be in eotnpliance with Section .3.40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORRECTIVE 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 that apply):
n City Sanitary Sewer Permit 1 1 City Plumbing Permit
l l f
Signa ure Date @@
4 City of Eaaall
NOTE: Applicable only if bo.x is checked: nBased 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, RootIntrusion, Dip /Settlement in Pipe, Other:
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2090