2020 Zircon Lane - COC4100. City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea all
City of Eagan, Minnesota
Property Address: Nr C ire Let kA
COMPLIANCE WIT INITIAL INSPECTION
i This is to certify that the property listed above has been inspected by authorized City personnel on 1 I , 201
and found to be in compliance with Section 3,40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
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 n City Plumbing Permit
NOTE Applicable only if box is checked: '�$used 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 potentialblocka a due to
Grease Build -up Root Intrusion ,dip /Settlement in Pipe, Other: 4 -5� c t
City Approved: v is
Print name
i f
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010