4064 Rahn Rd - COCCity of Egli
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: � 0 ( a 1� --CLAV t ` Q os,
COMPLIANCE WITH INITIAL INSPEC TION
J ZI__This is to certify that the property listed above has been inspected by authorized City personnel on C. , 201
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):
fl City Sanitary Sewer Permit fl City Plumbing Permit
NOTE Applicable only if box is checked. .11ased on a review of the Sewer Set vice video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize aa blockaa a due to:
Grease Build -u :� of Intr io Dip /Settlement in Pipe, Other: - --- 4 I _ H - ,
City Approved: c7 - _..\ \." \---\ei_u_Ck / \VAr. \ke,L,LxitLja1 / -I 1 /D-o a)
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of kali
rev 2,23 2010