2048 Shale Lane - COCCity of Eapn
City of Eagan, Minnesota
Pr opetty Address: '-[.%
COMPLIANCE WITH INITIAL INSPECTION
City Approved: ` y� \ v °rte.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of Ealall
This is to certify that the property listed above has been inspected by authorized City personnel on d "
and found to be in compliance with Section 3,40 of the City Code and no corr ective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
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):
City Sanitary Sewer Permit n City Plumbing Permit
1 /140
Signature Date
,2010
NOTE: Applicable only if box is checked: Vj 3ased on a review of the Sewer Service video inspection /report on file, it is
recommended that p dtzdeaing or fixture inspections be performed to minimize a otentiai blockage due to:
Grease Build -up, ootlntrusiohip /Settlement in Pipe, Other:`-
rev. 2 23 2010