2125 Sapphire Lane - COCCity of Eapo
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 �C3"C ) QV\ yr "e L bt
41 !P i City of Eago
COMPLIANCE WIIIT INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on L' 1 U , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF I ER CORREC I IVE WORK PERI ORMED
n 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 corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City PIumbing 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 pedi, cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot Intrust, Dip /Settlement in Pipe, Other:
City Approved: 1 OA_ i Z. -
Print name
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev. 2.23 2010