4151 Rahn Rd - COCCity of Ekall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of h
City of Eagan, Minnesota
Property Address: 1 CJ& & eQ
COMPLIANCE WITH INIIIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on S - ` 7-1 , 201 3
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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 n City Plumbing Permit
NOTE: Applicable only if box is checked.Based on a r eview of the Sewer Service video inspection /report on file, it is
recommended t. �eLLow c ' 'ng or future inspections beperformed to minimize a potential blockage due to:
Grease Build .. Roo : , : p /Settlement in Pipe, Other: 49,5`,
cLt 1
City Approved: yAne I /r� i � j U
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010