2103 Shale Lane - COC1
City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of.11
City of Eagan, Minnesota
Property Address: t b Y\ A 'Q CY1'
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 4 - 201 0
and found to be in compliance with Section 3 .40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORREC IIVE 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 City Plumbing Permit
NOTE: Applicable only if bo.x is checked: Based on a review of the Sewer Service video inspection /report on file, it is
recommended that per ' ' 'aping or future inspections be perforrned to minimize a oterttial blockage due to:
Grease Build- r ,, oot Intrusion 1 r Settlement in Pipe, Other,; 1 '1 1 '4 _S (, �{ ¥
i k Ts f+ . a-ot C-4-, 6 ‘-{
White Copy: Property Owner
•
Yellow Copy: City of Eagan (Parcel File)
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City Approved: v� � CAL V. / '" _ / A
Print name Signature Date
Pt
rev 2 23.2010
