2085 Copper Lane - COC411 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 4-0 CCU p (7-e v L tek
COMPLIANCE WITH INITIAL INSPECTION
"R This is to certify that the property listed above has been inspected by authorized City personnel on 6 -gA4, 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AEIER CORRECTIVE WORK PERFORMED
n Ihis 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):
City Sanitary Sewer Permit City Plumbing Permit
City Approved:
Print name
White Copy: Property Owner
NOTE: Applicable only if bo.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 Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Aek —
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Evan
rev. 2.23 2010