2049 Bluestone Lane - COC
SANITARY SEWER SYSTEM
City of Eay CERTIFICATE OF COMPLIANCE for City of Eap
INFLOW & INFILTRATION
City of Eagan, Minnesota
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Property Address: 4 C~> ~~C S6 YV\
COMPLIANCE WITH INITIAL INSPECTION c
his is to certify that the property listed above has been inspected by authorized City personnel on c~ 201
✓~-and found to be in compliance with. Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC UVE 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
NOIE Applicable only if box is checked F-]Based on a review of the Sewer Service video inspection/report on file, it is
recommended thatperiodic cleaning or future inspections beperformed to minimize a potential blockage due to:
Grease Build-up, Root Intrusion, Dip/Settlement in Pipe, Other:
CityApproved:11/i/~ Lt v~-. / ' . l M~ l 13
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010