2058 Flint Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eat fl
City of Eagan, Minnesota
Property Address: t WA La.
COMPLIANCE WIIH INIIIAL INSPECTION
7
his is to certify that the property listed above has been inspected by authorized City personnel on ' 13 . 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended tha Mod' eantng or future inspections be performed to minimize � a Potential blocka a due to:
Grease Build- Root Int /, Dip /Settlement in Pipe, Other i-1 - S
City Approved:
Print name
White Copy: Property Owner
- e ms ( /4 � aG rc�
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.23.2010