4241 Rahn Rd - COCCity of Eakall
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: C i VLLL
COMPLIANCE WIIH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 2010
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 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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked.: 'Based on a review of the Sewer Service video inspectionheport on file, it is
recommended that periodic cleaning or future inspections be perform ed to minimize a potential blockage due to:
Grease Build -up of Intrusao ip /Settlement in Pipe, Other: f+ , - F
City Approved:
Print name J Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Ea ll
rev 2 23.2010