2014 Jade Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: D -01 ' -� �'�
COMPLIANCE WITH INITIAL INSPEC IION
This is to certify that the property listed above has been inspected by authorized City personnel on Y 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 I IVE WORK PERFORMED
City of Ea all
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):
1
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: LlBased 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 potential blockage due to:
Grease .Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
City Approved: \ Vvv \.." ■ / / [
Print name if Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010