4450 Clover Lane B - COC41 , 1 City of EaoiIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
PropertyAddtess: 4150 ( .IOW LJA
COMPLIANCE WITH INITIAL INSPECITON
X This is to certify that the property listed above has been inspected by authorized City personnel on 66 /24 , 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
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 Carr eetive repair work under (check all that apply):
n City Sanitary Sewer Permit 7 City Plumbing Permit
NOTE: Applicable only if box is checked: 'Based on a review of the Sewer Service video inspection /report an 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: c 1 a1s P
Print name Signature
White Copy: Property Owner
4 City of EagaIl
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010