4824 Richard Lane - COCl e l ' City of Eta]
I
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minneso
COMPLIANCE WITTY INITIAL INSPECTION /
This is to certify that the property listed above has been inspected by authorized City personnel on /6 /' ' , 2010
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
City Approved: J1
Print name
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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: IBased on a review of the Sewer. Sex vice video inspectionheport on file, it is
recommended that per iodic cleaning or future inspections beperformed to minimize apotential blockage due for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Yellow Copy: City of Eagan (Parcel rile)
4 City of EBpIl
Date
rev 2 23 2010