2060 Shale Lane - COC41 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ekall
City of Eagan, Minnesota
Property Address: ( S Cs-`'"e- "€ _
COMPLIANCE WITH INITIAL INSPECTION
T his is to certify that the property listed above has been inspected by authorized City personnel on , 201 6
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
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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 [] City Plumbing Permit
NOTE: Applicable only if box is checked:rBased on a review of the Server Service video inspection /report on file, it is
recommended that r eriodic cleaning or future inspections be performed to minimize a potence al blockage due to
Grease Build-up, , r it , Dip /Settlement in Pipe, Other: 5 _ f` E`- -S •
.i YL caJt i 6‘. — S _S .
City Approved:
l ,rte Ovei 6-
White Copy: Property Owner
VC1r / J
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010