2117 Marble Lane - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 11 1 W -0 t �
COMPLIANCE WIIII INIIIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on -a"_.. 201
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
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):
n City Sanitary Sewer Permit fl City Plumbing Permit
NOT.: 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 he performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: VY` 11.t
Print name
White Copy: Property Owner
t,AeLAL IZg
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Yellow Copy: City of Eagan (Parcel F ile)
Date
pity of hp
rev 2 23 2010