4447 Clover Lane - COC4 City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea all
City of Eagan, Minnesota
Property Address: LJL/ ij 7 C.io x e 1-1r1
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 06 /ZH , 2011
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
n 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):
T City Sanitary Sewer Permit n City Plumbing Permit
NOTE:. Applicable only if box is checked: l '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
White Copy: Property Owner
Print name
Signature Date
Yellow Copy: City of Eagan (Parcel F rev 2 23 2010