2034 Bluestone Lane - COCCity of Et all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: - "j
COMPLIANCE WITH INITIAL JNSPEC THON
is to certify that the property listed above has been inspected by authorized City personnel on , 201 (�
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
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 n City Plumbing Permit
City of Eapll
NOTE: Applicable only if box is checke # ased on a review of the Sewer Service video inspection /report on, file, it is
recommended that periodic cleaning or tune inspections be performed to minimize a potential blockage due for
Grease Build -up, Root Intrusion, Dip /Settleme t in Pip Other„ \ '--e2r 6 ( ' 1q .5', acl . -S
,�l1 C +, S t v>' -e 90 i-•e_C Z av
0 "Pt-
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City Approved: 5��� lhe,�u.� / ,,,-, �� I f �a-0 f Ci
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File) rev. 2. 23.2010