834 Ivy Lane - COCCity of Eagan
II
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 5. 6
City Sanitary Sewer Permit C City PIumbing Permit
City of Evan
COMPLIANCE WITH INITIAL INSPEC TION
H Ihis is to certify that the property listed abo,,e has been inspected by authorized City personnel on "3 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was r equired
COMPLIANCE AFTER CORRECTIVE 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:I Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning of future inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
City Approved: —Si
Print name
White Copy: Property Owner
i s j / /'a-• j �
Signature Date
Yellow Copy: City of Eagan (Parcel k ile)
rev 2.23 2010