2013 Bluestone Lane - COCCity of Eaitall
City Approved: WL
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, g M � { innesota
Property Address: 3 (St kA.:€ V\ �--
COMPLIANCE WIIH INITIAL INSPEC TION
his is to certify that the property listed above has been inspected by authorized City personnel on S
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
n Ihis 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 I City Plumbing Permit
NOTE: Applicable only if box is checked73'ased on a review of the Sewer Service video inspection /report on file, it is
recommended tl -n odic clea<rig or future inspections be performed to minimize a L otential blockage due tai
Grease Build- RootIr - " in Pipe, Other: (c 1 - , q
Signature Date
City of Eapo
Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010