2081 Marble Lane - COCCity of Eaall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Evan
City of Eagan, Minnesota
Property Address: ' �5i b1 "�'. L cL v
COMPLIANCE WITH INIIIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201 ()
and fbund to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
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):
7 City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box 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 Build -up oot Intrusion Dip /Settlement in Pipe, Other: 34 Vic , to 3 Co L= L9
City Approved: T b �, 5 ..1 - ki i /
Print name Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2090