2097 Quartz Lane - COCCity of Faun
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapll
City of Eagan, Minnesota
Property Address; �{' Z L(x.'lrL ..2.,
COMPLIANCE WITH INIIIAL INSPECTION
This 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 CORRECTIVE WORK PERFORMED
City Approved:
White Copy: Property Owner
City Sanitary Sewer Permit n City Plumbing Permit
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):
NOTES Applicable only if box is checked, - hBased 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 for
Grease Build -up, oot intrusio Dip /Settlement in Pipe, Other: �
OA- O t1.`t / Ad
w I 1 I'"
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev. 2 23.2010