4345 Rahn Rd - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of EapIl
City of Eagan, Minnesota
1'
Property Address: 'J' �L - L lv , ]
QCD C�
COMPLIANCE WITH INIIIAL INSPEC TION
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 CORREC TIVE WORK PERFORMED
I 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 eon ective repair work under (check all that apply):
City Sanitary Sewer Permit I City Plumbing Permit
City Approved: ---Z-\' Vv\_,�"�
Print name
NOTE: Applicable only if box is checked: I L Based on a review of the Sewer Service video inspection /report on file, it is
recommended that , e ning or future inspections be performed to minimize a potential blockage due to.:
Grease Build - , Root Intrusion ddip /Settlement in Pipe, Other: CI( (, ,
White Copy: Property Owner
/ \ �- I "[ `�
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2090