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2033 Bluestone Lane - CO 110, SANI'T'ARY SEWER SYSTEM City of Ealan CERTIFICATE OF COMPLIANCE foi City of Eap INFLOW & INFILTRATION City of Eagan, Minnesota Property Address: COMPLIANCE WITH INITIAL INSPECTION This is to certify that the property listed above bas 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 COMPLUNCE 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 eheckedr ❑Based on a review of the Sewer Service video inspection/report on file, it is recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to: Grease Build-up, Root Intrusion, Dip/Settlement in Pipe, Other: City Approved: 1 VSN lei t~ \ 1 1 + I Print name Signature Date White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010 i