2049 Quartz Lane - COCCity of Eakall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City ofMMopp
City of Eagan, Minnesota
Property Address: '` q VA L vt-e_
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 67 �� , 201
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
n 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 r equired corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only 0°x is checked: 'Based 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 Buildup, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name
White Copy: Property Owner
\A Z
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23.2010