2120 Marble Lane - COCCity of kart
City Approved: llvt. ��$k
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel F ile)
41,0 City of Eagan
City of Eagan, Minnesota
Property Address: \ "4-0 - \ OX
COMPLIANCE WIIH INITIAL INSPECTION
J4 his 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 This is to certify that the property listed above has been found to be m 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 City Plumbing Permit
NOTE: Applicable only if box is checked: fir; ased 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 pore ti blocks a due to:
�
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:. / �`"-0,..„+1, a
( /i 1 16
Signature Date
rev 2 23 2010