2056 Emerald Lane - COCCity of Eapll
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eaaaa
City of Eagan, Minnesota
Property Address: o�U�J(er E yly -ev "ci-iA -- P_
COMPLIANCE WITH INITIAL INSPEC HON
Ihis is to certify that the property listed above has been inspected by authorized City personnel on j , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFIER 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked, - aced 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 i tential blo qge due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: ..�` cg.c' i �`
5 b PF Co.v it 5 A(1._LLC a LL- a
t.
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2.23.2090