2093 Jade Lane - COCCity of Eagan
COMPLIANCE WITH INIIIAL INSPECTION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: v207-5 j e L JC
Ihis is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
City of Emil
, 201
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
X 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):
C City Sanitary Sewer Permit XCity Plumbing Permit
NOTE Applicable only if box is checked: 'Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23.2010