4705 Pebble Beach Way - COC4, City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: '~-1. `3 k ` -Y) "J t - e_ _ % L k-k j a-
COMPLIANCE WITH INIIIAL INSPECIION
~ This is to certify that the property listed above has been inspected by authorized City personnel on 1 - 1 , 201_0
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
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 r epair work under (check all that apply):
p City Sanitary Sewer Permit E City Plumbing Permit
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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other„
City Approved:
White Copy: Property Owner
Print name
v�
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Ea all
rev 2 23 2010