2102 Marble Lane - COCCity of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Sanitary Sewer Permit City Plumbing Permit
City of Iagall
City of Eagan, Minnesota
Property Address: \ O Mal \ '� L�
.�i
COMPLIANCE WIIH INITIAL INSPECTION
Iris 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 IER 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):
NOT: Applicable only if box is checkedased on a review of the Sewer Service video inspection /report on file, it is
recommended that pe_ ' Wing or future inspections be performed to minimize a potential blockage due to.:
Grease Build -up ' oot Intrusion, Pip /Settlement in Pipe, Other: ' , (e,
City Approved:
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2.23.2010