2085 Jade Lane - COCSANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INrFILTRATION
City of Eap,aR
City of Eta'
City of Eagan, Minnesota
Property. Address: T
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on - , 201P
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
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 City Plumbing Permit
NOTE: Applicable only if box is checked:ased on a review of the Sewer Service video inspection/ eport on file, it is
recommended that • •iodic- ring or future inspections be performed to minimize a otential blockage due to,:
Grease Build- Root Intro ettlement in Pipe, Other: 6v , 40 Ca
City Approved: 1 t OS / t
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2.23,2010