2106 Marble Lane - COCCity of Eapil
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eaaaa
City of Eagan, Minnesota
Property Address: D°k \ &O+7 5Q `e
COMPLIANCE WIIH INITIAL INSPEC ZION
his is to certify that the property listed above has been inspected by authorized City personnel on % —1 0 201_0
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 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 7 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 that , :eiodie r ing or future inspections be performed to minimize a poten al blockage due tar
Grease Build -up, .? r tt Int � � .rip /Settlement in Pipe, Other: 4 ( t £ ( � •
City Approved: r7" + i / l .GcA:JF=k
/ a i 1
I C
rev 2.23.2010