2088 Shale Lane - COC4 1 ' City of aa.ii
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of E RaR
City of Eagan, Minnesota
Property Address: LeLv," -e_i
COMPLIANCE WITH INITIAL INSPEC IION
This is to certify that the property listed above has been inspected by authorized City personnel on ' � 1 , 201 � _(
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
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 Fi City Plumbing Permit
NOTE:' Applicable only if box is checked;ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfo fled to, minimize a otential bl ckage due to,
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:. S) 0 0116 L•- k
City Approved: ,s ,. ( / 7 f I ')
0
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
rev, 2 23.2010