821 Eagan Oaks Lane - COCCity of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ` a-1 s1.Sytbt G O-VS 6Ck V. -
COMPLIANCE WIT1H INITIAL INSPECTI ON
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 Evan
- - a- - 20I C)
COMPLIANCE AFTER CORRECTIVE WORK PERF ORMED
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):
n City Sanitary Sewer Permit U City Plumbing Permit
NOTE: Applicable only if box is checked: OBused 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 a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlementin Pipe, Other,.
City Approved: l I rA
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel Pile)
Date
rev 2 232010