2033 Jade Lane - COC
40-11 SANITARY SEWER SYSTEM
City o Eap CERTIFICATE OF COMPLIANCE for City of hp
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ~F33 Cs 4~'~
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on - , 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
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 ❑ City Plumbing Permit
NOTE: Applicable only if box is checked: sed on a review of the Server Service video inspection/report on file, it is
dk-rl~n 9 or future inspections bepefforfned to minimize apotential bloockage due to.:
recommended thaCootlntrusion,D!
/Settlement in Pipe, Other.:
Grease Build-up, p
1 I I
City Approved: q l yy' J
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010