945 Chloe Lane - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pt opet Address: L t , CAN- i 0` L VV-P—..
COMPLIANCE WITII INITIAL INSPEC IION
.Ihis is to certify that the property listed above has been inspected by authorized City personnel on S'-`11 C , 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 C ORREC IIVE 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 corrective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked.: UBased 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: \ NV,_ 461.0,4-
4-
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
4 City of Eagan
rev, 2 23 2010