829 Aldrin Dr - COCCity of Eafall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota rr
Property Address: ' 1C V t V� 1 ti `E'
4 City of EapIl
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on —1, , 2011
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
H 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):
City Sanitary Sewer Permit City Plumbing Per
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 perfor ed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: \ �SZC,r
City Approved: \ Vv- - Vim,..._..
Print name
White Copy: Property Owner
L4
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2.2.32010