2139 Sapphire Lane - COCA City of E8 ;l
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
City ofEapIl
COMPLIANCE WIIH INIIIAL INSPECTION
, This is to certify that the property listed above has been inspected by authorized City personnel on- a-c), 201 V
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
1 1 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 cor rective repair work under (check all that apply):
II
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked:1 IBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other;
City Approved: i OA. 146.-A-3
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23 2090