824 Ivy Lane - COC41 City of Eaftan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Evan
City of Eagan, Minnesota
Property Address:
COMPLIANCE WIIII INITIAL INSPEC IION
This 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 AF I ER CORRECIIVE WORK PERFORMED
p, 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):
City Sanitary Sewer Permit I City Plumbing Permit
NOTE.: Applicable only if box is checked: nBased 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:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: A V
Print name
White Copy: Property Owner
- , � 0I
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev. 2 23 2010