4630 Summit Pass - COC41/ City of EaRall
City Approved: 1 vvt e' l,4'
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SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of'Eagan, Minnesota
13 0� S L ..._OA A a
Prapecty Address:. � 3
COMPLIANCE WIIH INITIAL INSPECIION
- -- T-}Zis is to certify that the property listed above has been inspected by authorized City personnel on 1 — U , 201_
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
7 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
NOTi„ Applicable only if box is checked; UBased 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
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
7 V31)3 -0i/
Date
City of kali
rev 2 23 2010