825 Great Oaks Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: a ay-ess cAs
COMPLIANCE WITH INITIAL INSPEC I ION
c ,44-T-itis is to certify that the property listed above has been inspected by authorized City personnel on L k
City ofEaiaa
,201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
n This 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 n City Plumbing Permit
NOTE: Applicable only if box is checked ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed toAninimiz g.g potential blockage due to:
Grease B u i l d - u p , Root Intrusion, D i p / S e t t l e m e n t in P i p e , Other: ` a_ / r1 � } � -2d � o n t4' a F4 --
�'s F A - -g5. - 613._c k Y A Q 6 e Ste - P p r
City Approved: W\. / ��' PLa �( /
Print name U Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2.23.2010
Pf