1469 Thomas Lane - COCCity of Ea all
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
City of Eagan, Minnesota
HL9 ��s
1 0ia ea'
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201 n
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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic 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: 4-aL„Li-
Print name
Signature
Yellow Copy: City of Eagan (Parcel F ile)
41 City of Eaaall
I 12-I fi
Date
rev 2 23. 2010