803 Eagan Oaks Lane - COC41 City of bp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr operty Address. Oo S vl
COMPLIANCE WHIT INITIAL INSPEC TION
41 City of Eapfl
This is to certify that the property listed above has been inspected by authorized City personnel on — a' , 201 Cam'
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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 n City Plumbing Permit
NOTE: Applicable only if box is checked: eased on a review of the Sewer Ser vice 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:
White Copy: Property Owner
City Approved: — \ A- J l V� I L` l C 1 11
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23 2010