4465 Clover Lane B - COC4 11/ City of EaRaa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of E agan, Minnesota
1 7 1 7 1 16 7 Property Address: S X 13) Lys
11 City of Ekan
COMPLIANCE WITH INITIAL INSPECTION
17 ., This is to certify that the property listed above has been inspected by authorized City personnel on 7/ / , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE At IER CORRECIIVE WORK PERFORMED
7 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: Based an 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:
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2,23 2010