2189 Cedar Ridge Cir - COC4 11/ City of hp
City Appoved: . \ '
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Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: :3 S C `�-C� -C� v`
COMPLIANCE WIIH INIIIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201_
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 Ihis 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
NOTE: Applicable only if box is checked7 Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic' cleaning or future inspections beperf rned to minimize a potential block{ due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: k A Y\ € J i L b Lit i
1
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
411 City of EaaaIl
rev. 2 23.2010