4369 Rahn Rd - COC41 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of Evan
City of Eagan, Minnesota
Property Address: r'3 is,
COMPLIANCE WIT INITIAL INSPEC I ION
• This 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 AF TER CORREC TIVE 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):
U City Sanitary Sewer Permit n City Plumbing Permit
White Copy: Property Owner
NOTE: Applicable only if box is checked: 1 (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, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: l �„r. o /rte , I { ? - fa
Ci 1 � �,
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010