2145 Sapphire Lane - COCCity of hp
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: t 1/4 "t S SO- 9 ki La 0_
COMPLIANCE WITH INITIAL INSPECTION
13 is to certify that the property listed above has been inspected by authorized City personnel on , 201 f)
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 Ibis 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):
pi City Sanitary Sewer Permit City PIumbing permit
City of Eapft
NOTE: Applicable only if box is checked used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfarmed to inimize a pot ntial blockage due toy
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: C b / Q ‘ �1-� a €.-.--e C "( 0 i - )7 a-
City Approved: -' Vv . '` / Y V 1/_ 1 ` f l VD ci /Do/ L
Print name Signature Date
3 -
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010