1467 Thomas Lane - COCCity of Eapfl
I
E
White Copy: Property Owner
City Approved: S1 -- _ 424_,
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Andress:
City of Eagan, Minnesota
COMPLIANCE WITH INITIAL INSPEC HON
is to certify= that the property listed above has been inspected by authorized City personnel on
/1 /5
201_ 6
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFIER CORRECTIVE 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):
n City Sanitary Sewer Permit In City Plumbing Permit
NOTE:. Applicable only if box is checked, ;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.
Sign 'tore
City of Etall
/ 2 -17:S 71
Date
Yellow Copy: City of Eagan (Parcel I if e) rev. 2 23. 2010