4157 Rahn Rd - COCCity of Eapll
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
r �
Property Address: L i
City Sanitary Sewer Permit City Plumbing Permit
COMPLIANCE WITH INITIAL INSPECTION
g This is to certify that the property listed above has been inspected by authorized City personnel on 1 , 201U
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORRECTIVE WORK PERFORMED
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):
NOTE Applicable only if box is checkedABased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfo ed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
6-41-0- O in -
City Approved: / / c {�
/ ) 1 C3 1 6
Print name U Signature Date
City of Eapll
Yellow Copy: City of Eagan (Parcel F ile) rev. 2 23 2010