2125 Marble Lane - COCCity of Eaau
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of Eaaall
City of Eagan, Minnesota
Praperty Address: 1 A Y "�
COMPLIANCE WITH INITIAL INSPEC LION
Pi — This is to certify that the property listed above has been inspected by authorized City personnel on \ 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work w as required..
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit E City Plumbing Permit
NOTE: Applicable only if box is checked: aced on a review of the Sewer Service video inspection /report on file, it is
recommended that pe --cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, oot Intrusion 'p /Settlement in Pipe, Other \-
City Approved: \ \� .t,y I \` Ldb--1 re I l 6
Print name Signature Date
rev 2.23 2010