4363 Rahn Rd - COC40 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Evan
City of Eagan, Minnesota
Property Address: L k �j V\
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on %�, �-- , 201_)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
n City Sanitary Sewer Permit f City Plumbing Permit
NOTE: Applicable only if box is checked&ased on a review of the Sewer ° Service video inspection /report on file, it is
recommended that awning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, ootIntrusion3 ip /Settlement in Pipe, Other: 1, 1
City Approved: - Tt Vvt III V. / Y'nf- \A-CLU-
Print name S ignature
� a (Dh-orl
Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel pile) rev 2 23 2010