2041 Jade Lane - COCCity of Ea an
Root Intrusion,
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property. Address: - O4
COMPLIANCE WITH INITIAL INSPECTION
'his is to certify that the property listed above has been inspected by authorized City personnel on 6 , 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 TIVE WORK PERFORMED
fl 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):
n City Sanitary Sewer Permit 7 City Plumbing Permit
NOTE: Applicable only if box is checked: r'` 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 otential blockage du to:
Grease Build-1 �, + p /Settlement in Pipe, Other: a-s_S 33 (c« Doe), � ' per , t'" — ( 6
City Approved: ✓A- I�� I -el,.,0: I 11 te hZ [°!
Print name Signature Date
City of hp
Yellow Copy: City of Eagan (Parcel File) rev. 2.23.2010