1840 Walnut Lane - COCSANITARY SEWER SYSTEM
City of kali CERTIFICATE OF COMPLIANCE for City of hp
INFLOW & INFILTRATION
City of Eagan, Minnesota
Ptopetty Address: ] S 11 U &Al /r11 h L;-
COMPLIANCE WITH INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on dto , 201 !
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE Al IER CORRECIIVE 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):
fl City Sanitary Sewer Permit fl City Plumbing Permit
NOTE Applicable only if box is checked: rlBased 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/+)Vt t1 p/
Print name
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
rev. 2 23. 2010