4402 Clover Lane B - COC41,0 City of Eagan
n City Sanitary Sewer Permit
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: qqO Z- (S) Clove
COMPLIANCE WITH INIIIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 06 /Z y , 201)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AI TER 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 Plumbing Permit
City of Eagan
NOT: Applicable only if box is checked: 1 '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:
MMES
City Approved: MMES 1 /,
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
rev, 2 23 2010