2098 Quartz Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: C g_,f A Z La V\
COMPLIANCE WI I II INI I IAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on �' , 201 v
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
fl 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):
C City Sanitary Sewer Permit C City Plumbing Permit
NOTE: Applicable only if box is checked. " 'teased on a review of the Sewer Service video inspection /report on file, it is
recommended that perio 'c. Iean ng or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot Intrusion,yip /Settlement in Pipe, Other_ k , .S
City Approved:
Print name `) Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
City of kali
rev 2 232070