4289 Rahn Rd - COC411 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Eagan
City of Eagan, Minnesota
Property Address: 4. �`} 1,L.0- CO GS
COMPLIANCE WITH INIIIAL INSPECTION
_Ibis is to certify that the property listed above has been inspected by authorized City personnel on , 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
n 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: Based 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 oriirrtisiii Dip /Settlement in Pipe, Other. 1 + "` ,C2
City Approved: 3 k / �1 x. / S1 14 D-:r3 l�
Print name `+ Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23.2090