2069 Quartz Lane - COCCity of Eap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE far
INFLOW & INFILTRATION
City of Emil
City of • Eagan, Minnesota
I'x operty Address: 1,0 C-Q Us- 'f LOLLA
COMPLIANCE WITH INITIAL JNSPECHON
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 'D--Let , 2010
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF 1 ER 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 required corrective repair work under (check all that apply):
L City Sanitary Sewer Permit ❑ City Plumbing Permit
NOTE: Applicable only if box is checked: used 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 potential blockage due to;
Grease Build -u Root trusion, Di /Settlement in Pipe, Other: 'mil 0 q
City Approved: v►� �_ l �i / a7 c3 1
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel Pile) rev 2 23.2010