848 Ivy Lane - COCCity of Eaaall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: c3 6 .
COMPLIANCE WITII INITIAL INSPEC HON
a lais is to certify that the property listed above has been inspected by authorized City personnel on
City of Ep
X L
- and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORREC JIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit ❑ City 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: s r u
Print name
White Copy: Property Owner
t , 13a
Date
�] Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010