4714 Hazeltine Lane - COCSANITARY SEWER SYSTEM
41 City of Eaftall CERTIFICATE OF COMPLIANCE for City of Ea all
INFLOW & INFILTRATION City
City of Eagan, Minneso a
Property Address: L, // 2“-F J1
COMPLIANCE WITH INITIAL INSPECTION
a '
This is to certify that the property listed above has been inspected by authorized City personnel on / I l , 201 D
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER 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 City Plumbing Permit
City Approved:
Print name
White Copy: Property Owner
�.w
NOTE.: Applicable only if box is checked: u_Based on a review of the Sewer Service video inspeetionheport 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 :
Signature
1 /� 1/ O
Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010