2085 Marble Lane - COCCity of Ea Rao
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eaftan
City of Eagan, Minnesota
Property Address: q 1.O9.:%( b
CON PLIANCE WITH INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on — t '--, 201
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
I I
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):
n City Sanitaty Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked.sed 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 pot tia'b ocka a due to.:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: kApi G 0 V 4 _ 3 i# Ft-
City Approved: i VvA.
Print name
White Copy: Property Owner
Oca,LLIL l
Signature Date
0
Yellow Copy: City of Eagan (Parcel ile) rev 2.23 2010