4351 Rahn Rd - COCCity of Ea as
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eva
City of Eagan, Minnesota (�
Property Address: �5 1 t) CL.-
COMPLIANCE WIIH INITIAL INSPEC ZION
f Ihis is to certify that the property listed above has been inspected by authorized City personnel on " 1 a 201 a
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
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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE Applicable only if box is checked.; aced on a review of the Sewer Service video inspection /report on file, it is
reconrrnended that per r ping or future inspections be performed to minimize a potential blockage due to:
Grease Build -up ' oot .Intrusion T ip /Settlement in Pipe, Other: `a l �S 3 ,� R--
City Approved l� / �l r�} U 1
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev. 2.23 2010