2018 Bluestone Lane - COC411 City of Eapu
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan,, Minnesota
Property Address: � ;5 11 -e-
COMPLIANCE WIT H INITIAL INSPECTION
CP Ihis is to certify that the property listed above has been inspected by authorized City personnel on "D-O , 201 C�
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
n 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):
City Sanitary Sewer Permit n 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 periodic cleaning or future inspections be per ormed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other ` Yve- of dQip( 3 2L
City Approved: I l� / l D
Print name Signature bate
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
rev 2232090