2108 Shale Lane - COCCity of Ea all
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: c () O' � LCLIA
COMPLIANCE WI III INITIAL INSPECIION
Yellow Copy: City of Eagan (Parcel File)
411 City of Etao
This is to certify that the property listed above has been inspected by authorized City personnel on 6,- , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER 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 Cit Sanitar sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked, &ased on a review of the Sewer Service video inspection /report on file, it is
recommended t aping or future inspections be performed to minimize a potential blockage due to
Grease Build- oot In rp/Settlement in Pipe, Other:
City Approved: vim. y I I cv/
Print name Signature Date
rev 2,23 2010