805 Eagan Oaks Lane - COC41 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: C§.-in C'S (Cl
COMPLIANCE WIT H INITIAL INSPECTION v v
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 CORRECTIVE WORK PERFORMED
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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked.' 2Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfgrined to minimize a potential blockage due to:
Gre,ase Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.. t. 1s y) ; �. - i0 , i a, - (, , 3 ,+
1 1:1-,Cd-t CW-CLQ_ ` e Olt -s L t. 0 fi— ft J
City Approved: -- 1 V∎ t- / VV,, - is -`-T c'
/ ` /a'3 1g-c, I b
Print name " Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
Date
City of Eagall
rev. 2 232010