679 Brentwood Lane - COC41 City of EapIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE foi
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: L1- 9 By cJ t ;00 a V`4 `Q.__
COMPLIANCE WITH INITIAL INSPECIION
- Pr- This is to certify that the property listed above has been inspected by authorized City personnel on q " , 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 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 n City Plumbing Permit
NOTE: Applicable only if box is checked :1 (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:
City Approved: V� �1 ✓`_.
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of pagan (Parcel File)
City of Iaftal
rev 2 23 2010