4357 Rahn Rd - COCCity of Eta]
I
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: L i ' 3 1 5 - L\A V� CoaiD
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on ` 1 , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
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 City Plumbing Permit
NOT, Applicable only if box is checked., used on a review of the Sewer Service video inspection /report on file, it is
recommended that ning or future inspections be performed to minimize a potential blockage due to
ip /Settlement in Pipe, Other: C%'
r' • r
•
Grease Build -up,
Stu
oot Intrusion
City Approved: / / 3 [
Print name ' Signature Date
Yellow Copy: City of Fagan (Parcel f ile)
City of bp
rev. 2 23 2010