1415 Rebecca Lane - COC41 City of Eagan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
COMPLIANCE Willi INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on } t) — }J , 201!
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired.
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):
City Sanitary Sewer Permit J City Plumbing Permit
Print name
City of E fall
NOTE.: Applicable only if box is checked: 1Based on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning or future inspections beperformed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
t i t%'.0
City Approved: V
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2.23 2010