4584 Lake Park Dr - Certificate of ComplianceCity of Eapll
COMPLIANCE WITH INITIAL INSPECTION
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: f L ilt e \CL v - r∎
4 City of Eaiall
174 —This is to certify that the property listed above has been inspected by authorized City personnel on ■ , 2019
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AT TER 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, 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: \ti / 1� f : 1 L1 ( ��� Cf
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2232010