2021 Jade Lane - COCCity of Caaa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eakaft
City of Eagan, Minnesota
Property Address: C Gtitk Lt's. h
COMPLIANCE WITH INI1IAL INSPEC ZION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on � _ 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE 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):
City Sanitary Sewer Permit 1 1 City Plumbing Permit
NOTE Applicable only if box is checkedf4 4 ased 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 apotential blockage due to:
Grease Build -u oot • n, Dip /Settlement in Pipe, Other: k e# , 1 k S k'
City Approved: -.J / �l J a01 / 4 7i 0 /D-0 C
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File) rev 2.2.3.2010