1477 Lake Park Cir - COC4 City of Ea ll
City Sanitary Sewer Permit
City Approved: T ✓"���
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City ofEapIl
City of Eagan, Minnesota
Property tv Address: WI L- Pk
COMPLIANCE WITH INITIAL INSPECTION
X Ihis is to certify that the property Listed above has been inspected by authorized City personnel on /61z._.1 ,201_0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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):
Print name
NOTE: Applicable only if'bo.x is checked: (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:
n City Plumbing Permit
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010