2038 Bluestone Lane - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota y
Property Address: - J B uoe-S () �`� �_ L a_ in,
COMPLIANCE WITH INITIAL INSPEC IION
r--This 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 C ORREC I IVE 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
NOTE: Applicable only if box is checked: I 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: 1 Ins /
Print name
White Copy: Property Owner
IT City Plumbing Permit
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of EaOoa
rev 2 23 2010