4402 Clover Lane - COCCity of Evart
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea all
City of Eagan, Minnesota
Property Address: Liti 1 CloVt5 Lv
COMPLIANCE WIIH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on 0 6 1 19 , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AI TER CORREC IIVE 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 fl City Plumbing Permit
NOTE: Applicable only if box is checked: used 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: JAME-S 14,114714
Print name
Signature r Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev. 2 23.2010