2017 Jade Lane - COCCity of Ea,aa
City Approved: 1E t�
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: -4 l
COMPLIANCE WI lI INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF ER 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):
1 City Sanitary Sewer Permit 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 : WI ing or future inspections beperformed to rn(nirnize a potential blockage due to„
Grease Build -up, oot Intrusion I i• /Settlement in Pipe, Other. �-��
Signature Date
146,A4LI z
City of aill
Yellow Copy: City of Eagan (Parcel File) rev 2 2 . 3 2010