2066 Marble Lane - COC4111 City of Eagan
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: (a �i �`1c� l ►C) �('�� "�
COMPLIANCE WITH INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on 1 � � 201 L)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n This is to certify that the property listed above has been found to he 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 checket.8ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize4pgential blockage due to:
Grease Build -up, oot Intrust Dip /Settlement in Pipe, Other:
Signature
Yellow Copy: City of Eagan (P arcel F ile)
4 1/16 City of Eagan
rl / 3 <-:I � tit
Date
rev 2. 2010