2146 Shale Lane - COCCity of lap
SANITARY SEWER SYSTEM
CERTIFICATE. OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: VL�' S! in. --e_
COMPLIANCE WITH INITIAL INSPEC ZION
This 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 TER CORREC IIVE 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checkedBased on a review of the Sewer Service video inspection /report on . file, it is
recommended that er'odic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -u Root lntrusilr Dip /Settlement in Pipe, Other:
City Approved:
Print name Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
1
City of kali
rev 2 23 2010