4259 Rahn Rd - COCCity of ali
City Approved: ti L 1 '
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 4 I
vL. �G
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on _ , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
ri 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: VBased on a review of the Sewer Service video inspection /report on file, it is
recommended that , • -'r • --eleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, ' oat Intrusion Dip /Settlement in Pipe, Other: 1"
I & '//0 i 0
Signature Date
Print name
Yellow Copy: City of Eagan (Parcel File)
City of Endo'
rev 2.23 2010