2053 Flint Lane - COCCity of Eapa
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
City of Eagan, Minnesota
Property Address: ? "3 53 F L i V\
COMPLIANCE WIIH INITIAL INSPECTION
--Ihis is to certify that the property listed above has been inspected by authorized City personnel on " ( ) , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TIVE 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE_ Applicable only if box is checked: on a review of the Sewer Service video inspection /report on file, it is
recommended tha iadlrr or future inspections be performed to minimize a potential blockage due to
Grease Build -up, : oot Intrus , r ai i /Settlement in Pipe, Other„ ? 1 (e 5, 9 � 83S g'to ,€
Sc E i�li S D -~ -`� °
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Cit Approved: E 1 �� d I 1 l l �a Q f
Print name Signature Date
rev 2.23.2010