2086 Jade Lane - COC4 City of Eapu
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: D'e
City of Eapll
COMPLIANCE WITH INITIAL INSPEC TION
is -is to certify that the property fisted above has been inspected by authorized City personnel on " - 6 , 2016
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
II
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 corr ective repair work under (check all that apply):
City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked,ased on a review of the Sewer Service video inspection /report on file, it is
recommended that re . leaning or future inspections be performed. to minimize a potential blockage due to:
Grease Bu'ld -u. RootIntru. -ion ►ip /Settlement in Pipe, Other: '70
City Approved: - � A k.. /
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel pile)
rev 2 23 2010