2140 Marble Lane - COCCity of Ea Rail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: k4O } r W.,V 4v
COMPLIANCE WIIH INIIIAL INSPECTION
his 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 was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
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 Sanitary Sewer Permit 1 City Plumbing Permit
City Approved: — 1' V�
Print name
White Copy: Property Owner
/
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of hp
NOTE; Applicable only if' box is checked.: UBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperforriled to minimize apotential blockage due to
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other:
rev 2 23 2010