2030 Shale Lane - COCCity of Eapll
COMPLIANCE WITH INITIAL INSPEC TION
fl 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: DC \ 0 . \ , t ., rt \
This is to certify that the property listed above has been inspected by authorized City personnel on e , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
Ihis 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):
0 City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
NOTE: Applicable only if box is checked ; .JBased 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 blocka e due to.:
Grease Build- up,o ' ot Intrusion; 'p /Settlement in Pipe, Other: D- 3 1
1'\ t v, c V 0_1
City Approved:
Signature
Date
City of Eakaa
rev 2 23 2010