865 Ivy Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPEC ZION
-his is to certify that the property listed above has been inspected by authorized City personnel on 1 , 201 L)
and found to be in compliance with Section .3 40 of the City Code and no correcti% e work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
7 Ihis 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 City Plumbing Permit
NOTE: Applicable only if box is checked: 1 (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 a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:.
Print name Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
City of Emu
rev 2 23 2010