2065 Copper Lane - COCCity of Evan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eon
City of Eagan, Minnesota
Property Address: (‘" 9 p-EN- Q
COMPLIANCE WITII INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 6D- 201 0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
1, 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 fi City Plumbing Permit
NOTE.: Applicable only if box is checked: FIBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or futute inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: J 1 V■A._ / � / Z) / ! a'l
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010