2109 Marble Lane - COCCOMPLIANCE WITH INITIAL INSPEC TION
City of Egli
I
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: \ 6 (= k
City Sanitary Sewer Permit I I City Plumbing Permit
Print name v Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of hp
Ihis is to certify that the property listed above has been inspected by authorized City personnel on - , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORRECTIVE i ORK 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):
NOTE: Applicable only if box is checked.;gBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -Yrp, ootlntrusion ip /Settlement in Pipe, Other: l
, ( R a s A a So ► ory. -
City Approved: \ W'_ titA-L_ / ?4 V"'�° \' ( / / c i
rev 2 23 2010