852 Ivy Lane - COC4 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapll
City of • Eagan, Minnesota
Property Address: `B a ' - \J l C.X .V1 -- e---
COMPLIANCE WIT H INITIAL, INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 201 0
and found to be in compliance with Section 3.40 of the City Code and no corr ective 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 corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE Applicable only if box is checked :r &zsed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perforated to minimize potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.. i Vl J Q L C -,P O v. 3S R
City Approved: ��iSz L.tt�. / .�„� tom. �> (fk / 0. 3 103 I
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010
sib )