2014 Shale Lane - COCCity of Emu
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
City of hp
COMPLIANCE WITH INITIAL INSPECIION
This 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 AFIER CORRECTIVE WORK PEREORtMED
j ] 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 ❑ City Plumbing Permit
NOM:. Applicable only if box is checked: cased on a review of the Sewer Service video inspection /report on file, it is
recommended tha iodic-d ning or future inspections beperformed t minimize a potential blockage due to:
Grease Build -u Root Intrusion, ip /Settlement in Pipe, Other, (0to
City Approved: v 6 1'Y�. /
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Signature
Print name g nature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile) rev 2 , 23 2010