4266 Jasper Dr - COCCity or kali
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: --)-- (e ).-- X �,.J i \l'
COMPLIANCE WITH INITIAL 1NSPEC ZION
City of Egli
4 This is to certify that the property listed above has been inspected by authorized City personnel on /1 ' —, 2016
and found to be in compliance with Section 3 .40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORREC IIVE 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):
fl City Sanitary Sewer Permit f City Plumbing Permit
NOTE: Applicable only if box is checked: Based on a review of the Sewer Service video inspection /report on, file, it is
recommended tha periodic rng or future inspections be performed to minimize a potential blockage due to,
Grease Build- r Root Intrusion, ip /Settlement in Pipe, Other: .� 5J (, t, (2. ( j S
City Approved: \ 3Ck I / -1 --/ / t
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010