2050 Jade Lane - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: aC) , [ -
COMPLIANCE WIIH INITIAL INSPEC ZION
is to certify that the property listed above has been inspected by authorized City personnel on 3' 3 , 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 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):
City Sanitary Sewer Permit
White Copy: Property Owner
T7 City Plumbing Permit
City of Ea. ,al
NOTE: Applicable only if box is checked. Based on a review of the Sewer Service video inspection /report on . file, it is
recommended that per iodi ing or future inspections be performed to minimize a otential blockage due to:
Grease Build -up, oot Intrusion, pip/Settlement in Pipe, Other: G �j . F4-
City Approved: \ �- I
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010