814 Ivy Lane - COCCity of all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: S' t COMPLIANCE WITH WIIH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
This is to certify that the property fisted above has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the required cor rective repair work under (check all that apply):
City Approved: � Va � � /
Print name
White Copy: Property Owner
City Sanitary Sewer Permit 1 City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
4 1 ! 111 City of Evan
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NOTE: Applicable only if box is checked.: (Based 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.:
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rev 2. 23 2010