2074 Jade Lane - COCCity of Eapl
SANITARY SEWER SYS1EMVI
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of kali
City of Eagan, Minnesota
Property Address: c JV'!
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on 4_C, , 20I_(
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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
NOTE! Applicable only if box is checkedrJased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blocka a due to:
Grease Build-up, oot uusion ip /Settlement in Pipe, Other„ `{Z". s CS , ��,5 lo9. - 1 i- r '
City Approved: \'Y� t�� / \\- cLki t l / - /'D) Z
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010