2061 Marble Lane - COCCity of Eapil
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eatall
City of Eagan, Minnesota
Property Address: D-o C ti Tr.av b\ `e
COMPLIANCE WITH INITIAL INSPEC HON
is to certify that the property listed above has been inspected by authorized City personnel on , 201 C)
and found to be in compliance with Section 3.40 of the City Code and no corr ective 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 City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checkedfJ rBased on a review of the Sewer Service video inspection /report on file, it is
recommended that riodie- ping or future inspections be performed to minimize a potential blocks a due to
Grease Build- up, oot Intrusion ip /Settlement in Pipe, Other: 5
City Approve Vv / i.t�
d �
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010