2069 Emerald Lane - COCCity of Iapll
C
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit n City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
City of Eaaa
City of Eagan, Minnesota i [
Property Address: O1 E ver
COMPLIANCE WITH INITIAL INSPEC TION
4 -This is to certify that the property listed above has been inspected by authorized City personnel on , 201 C
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORREC TIVE 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):
NOTE: Applicable only if box is checkerk used on a review of the Sewer Service video inspection /report on file, it is
recommended that per's <ning or future inspections be performed to minimize a potential blockage due ter
Grease Build -up, �' oot Intrusion ip /Settlement in Pipe, Other r COO -. , � .S L SO . Pi
p,pe i -L o '44 -4o -
City Approved: W � 5. Vs.- `.-- / \- C
Print name Signature Date
rev 2.23 2010