2124 Sapphire Lane - COCCity of Ea all
White Copy: Property Owner
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eapa
City of Eagan, Minnesota
Property Address: D Q p y ` -e_
COMPLIANCE WITH INITIAL INSPECTION
. Ihis is to certify that the property listed above has been inspected by authorized City personnel on 1 0 , 201 C.
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
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):
C City Sanitary Sewer Permit n City Plumbing Permit
NOTE Applicable only if bo.x is checked,. Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodi leaning or future inspections be performed to minimize a potential blockage due to.:
Grease Build -up - 'ootlntrusi. ', Dip /Settlement in Pipe, Other. 5 •• a , 0
Yti' i art - its a1 () aS _ Sig..'4 - (,o F4- , L Pi L i--
City Approved: - t - ∎ [ LSlik l \ ! l / L A i+ 1 i
Date
rev 2 23 2010