4336 Jasper Dr - COCCity of E a
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr oper ty Addr ess:
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201_0
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
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 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 thatpe ning or future inspections be performed to minimize a potential blockage due to •
Grease Build -up oot intro sion,. ip /Settlement in Pipe, Other:'
City Approved: Nr H .V 1 Nev- / 'J 1 / fJl (�
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eqpt
rev 2 23.2090