2073 Marble Lane - COCCity of Etall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: , 6)1 V1, 'e---
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on ")—, 201(
T7 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 required corrective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
White Copy: Property Owner
City Approved: 'yt
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Ca all
NOM Applicable only if box is checkerlased on a review of the Sewer Service video inspection /deport on file, it is
recommended that • i ' cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -u , Root Intrusi p, Dip /Settlement in Pipe, Other,: 6 7 tD �ri - ��- `Z 8 j - 79,5 -
rev. 2. 23 2010