948 Chloe Lane - COC41 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: C t
COMPLIANCE WITH INITIAL INSPECTION
is to certify that the property listed above has been inspected by authorized City personnel on 1 1-- , 201(.0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n 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 r epair work under (check all that apply):
City Sanitary Sewer Pen - nit [1 City Plumbing Permit
City of Ea il
NOTE.: Applicable only if box is checked: used on a review of the Sewer Service video inspectionheport on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due for
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved: vv,
Print name
White Copy: Property Owner
n ti l CT
abz, 1 " I � `� 1
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010