4235 Jasper Dr - COCCity of EaRall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pi opetty Address: S p-e v O.(
COMPLIANCE WITH INITIAL INSPEC HON
4A —This is to certify that the property listed above has been inspected by authorized City personnel on x" C)
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was r equired.
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):
In City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: L sed on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning OF fixture inspections be performed to minimize a potential blockage due to
Grease Build -u , oot Intrusion Dip /Settlement in Pipe, Other: - P
City Approved: \.nn_ v (Ze / - 1 C
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Ea ll
rev. 2 23.2010