2111 Shale Lane - COCCity of Eap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ealau
City of Eagan, Minnesota
Property Address: all ■
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 4 -1 , 201
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 City Plumbing Permit
NOTE: Applicable only if box is checked44Based on a review of the Sewer Service video inspection/report on file, it is
recommended that - ing or future inspections be performed to minimize a pote ti blockage due to:
Grease Buil p, Root Intrusion, rip /Settlement in Pipe, Other„
63 (04 P C.POSS1
City Approved: \ v tk I l q S r -0 (�
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File) rev 2 23, 2010