1429 Rebecca Lane - COC11 !O l City of Evan
City Approved: ti tS �.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:�'l
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on { 6 l 4 " , 201
and found to be in compliance with Section .3 40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
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: uBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfornred to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other r
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
Do
City of Eapil
rev 2 23 2010