849 Ivy Lane - COCCity of Eapll
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
COMPLIANCE WITH INITIAL INSPECTION
- This is to certify that the property listed above has been inspected by authorized City personnel on a - 1201
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
E 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):
n City Sanitary Sewer Permit } 1 City Plumbing Permit
City Approved: J NA& / \-\" S- - 1. / J h
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of kap
NO1E: Applicable only if box is checked.: ed 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 C M � 01.
N
rev. 2.23 2010