4555 Lake Park Dr - COC411 City of Eagan
City Approved` V , 4 /
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for City of Ea ,an
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Addr ess: {' 3 5 r2, ear_)‹
COMPLIANCE WITH INITIAL INSPECTION
W lhis is to certify that the property listed above has been inspected by authorized City personnel on 1 7 20l 0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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 n City Plumbing Permit
NOTE.: Applicable only if box 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,
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010