689 Hay Lake Rd N - COC
SANITARY SEWER SYSTEM
City of Eap CERTIFICATE OF COMPLIANCE for City of Eagan
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:j ~ .
COMPLIANCE WITH INITIAL INSPECTION
❑ This is to certify that the property listed above has been inspected by authorized City personnel on , 201_
and found to be is compliance with Section. 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
'RThis 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 Why Plumbing Permit
NOTE: Applicable only if box is checked: ❑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:
City Approved:sC C JCS tvt l / Z
Print name Szgnature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File) rev. 2.23.2010