838 Ivy Lane - COC4 City of Eap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRA'TION
City Sanitary Sewer Permit 1 City Plumbing Permit
4 City of EapIl
City of Eagan, Minnesota
Property Address: c '6" 3 / -€
COMPLIANCE WITH INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201/)
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE 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):
NOTE.: Applicable only if box is checked„ nBased 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:, ° y v �
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23.2010