4211 Rahn Rd - COCCity of Epp
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for'
INFLOW & INFILTRATION
City of Eagan, Minnesota
(k ens
Property Address: ' f -1
COMPLIANCE WIIII INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , a ? , 2010
and found to be in cornpliance 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 thatapply):
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 perdi eaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot Intrusio Dip /Settlement in Pipe, Other; 1 -
City Approved: ( 1 1 vstt TLl�t1LL- / L GL, / / '.11 1 (0 1 (7
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Evan
rev 2 23.2090