2050 Copper Lane - COCA li° City of Ekan
n City Sanitary Sewer Permit
City Approved: 1 Yvt CTCCL�
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota r
Property Address: a C—C) Q '43 fX Le vA, •
COMPLIANCE WIIH INIIIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 1 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORREC TIVE 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 corr ective repair work under (check all that apply):
n City Plumbing Permit
NOTE.: Applicable only if box is checkedased 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:
ease Build -up ootIntrusion 1 ip /Settlement in Pipe, Other: ( 5 - 6 - ,'j' (., l J
x 131)'D -3
Date
Signature
Yellow Copy: City of Eagan (Parcel F ile)
City of Ea all
rev 2 23 2010