4548 Lake Park Ct - COCCity of kali
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
COMPLIANCE WIIH INITIAL INSPECTION
City of Eagan, Minnesota
fS
This is to certify that the property listed above has been inspected by authorized City personnel on` 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
n 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 City Plumbing Permit
City Approved:
Print name Signature
White Copy: Property Owner Yellow Copy: City of Pagan (Parcel File)
Date
41 City of Eagan
CG u
NOTE: Applicable only if box is checked:1 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
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rev. 2 23.2010