2033 Flint Lane - COCCity of hp
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of apa
City of Eagan, Minnesota
Property Address: D- 03
COMPLIANCE WITH INITIAL INSPEC IION
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 AFTER 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):
fl City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked: {Based on a review of the Sewer Service video inspection /report on file, it is
recommended that eriodiesjeaning or future inspections be performed to minimize a potential blocks a due to,:
Grease Build -up, ootIntrusion,ip /Settlement in Pipe, Other. "5.C ��,� g, .S
City Approved: / VkekiO35L ( /
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010