4591 Lake Park Dr - Certificate of Compliancek 110111° City of EakaIl
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ' J� V-Q.L PCIA V'�
COMPLIANCE WITH INITIAL INSPECIION
A . This is to certify that the property listed above has been inspected by authorized City personnel on C -1 , 201 0
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):
Ti City Sanitary Sewer Permit ❑ City Plumbing Permit
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 of future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: — SC,
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
R
City of Eaian
rev 2 23 2010