808 Ivy Lane - COCCity of flap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Addr ess:
City of Eagan, Minnesota
%O
City of EaRaIl
COMPLIANCE WITH INIIIAL INSPECTION
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 AF IER 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):
White Copy: Property Owner
n City Sanitary Sewer Permit 1 1 City Plumbing Permit
NOTE.: Applicable only if bo.x is checked-Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfo ed to minimize apotenti blockage due to..
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Others ?L .iLLI0_4 \ "~
31 -- . qt., FA--. \ \ 3c.- 9 e , s---3 -.
City Approved :� ~ Vsn C
Print name
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23. 2010