1512 Thomas Lane - COC41 City of Evan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
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Property Address: / 5 / 2 1 U a s
COMPLIANCE WIIH INITIAL INSPECTION l
This is to certify that the property listed above has been inspected by authorized City personnel on / ibO , 201C)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired.
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
n Ihis 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 1 City Plumbing Permit
Print name / Signature
Yellow Copy: City of Eagan (Parcel F ile)
City of Eagan
NOTE: Applicable only if box is checked: iBased 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 apotential blockage due to:.
Grease Build -up, Root Intrusion, Dip/Settlement in Pipe, Other:
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City Approved: l `^ Ha, I Gr I
1 `x(1 lla
Date
rev 2 23 2010