4247 Rahn Rd - COCCity of Ea il
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota //��
Property Address: l '4 �t-k� 2.11, .. _00L J
COMPLIANCE WITH INITIAL INSPECTION
rThf his is to certify that the property listed above has been inspected by authorized City personnel on — , 201 L
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECTIVE 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):
n City Sanitary Sewer Permit C City Plumbing Permit
NOTE: Applicable only if box is checked„ used on a review of the Sewer Service video inspection /report on file, it is
recommended thatperi ae 1e ping or future inspections be performed to minimize apotential blockage due to:'
tease Build -up, oot Intrusion\ D' ettlement in Pipe, Other: ‘0
grease
V -1,
City Approved: - : \NA U / u / 1, - /�
Print name Signature
White Copy: Property Owner
i c/ a
Date
Yellow Copy: City of Eagan (Parcel File)
City of Eatall
rev. 2 23 2010