1563 Lancaster Lane - COCCity of EapIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fin
INFLOW & INFILTRATION
City of Eagan, t Minnesota
Property Address: 1S
City of EaRall
COMPLIANCE WITH INITIAL INSPECTION
is is to certify that the property listed above has been inspected by authorized City personnel on 10 ` , 2010
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
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):
fl City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked: I Based on a r eview 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:
Print name
1 l
`) I 3 ()
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
rev. 2 23.2010