1486 Lake Park Cir - COCCity of Eaaall
City Approved: 77 : a c L /
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of hp
City of' Eagan, Minnesota _ r
Property Address: / 7( 1,e_ Pze-L f�
COMPLIANCE WIT II INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on d / .0 5 , 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
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 r equired corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE Applicable only if box is checked: 1Based 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:
i ec-.-v79 I 2-Mo/ 0
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2 2 2010