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4731 Hazeltine Lane - COC41 City of Evan SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION Property Address: City of Eagan, Minnesota COMPLIANCE WII II INITIAL INSPECTION This is to certify that the property listed above has been inspected by authorized City personnel on 1 �! 2 , 201 and found to be in compliance with Section 3 40 of the City Code and no corrective work was required. COMPLIANCE AF I ER 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): City Approved: ZT ` I& Print name n City Sanitary Sewer Permit 1 City Plumbing Permit Signature Date White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile) City of Eapll 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:. rev 2.23 2010