2140 Diffley Rd - COCCity of EkaIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: D --1 N 0 i i Ci
City Sanitary Sewer Permit n City Plumbing Permit
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
41 City of Evan
COMPLIANCE WITH INIIIAL INSPECTION
This 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 AF TER CORREC TIME 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):
NOTE: Applicable only if box is checked: UBased on a review of the Sewer Ser vice video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Ska J bl
City Approved: vv•- 1 G, L�� e, I {1zti- J Il �ZS 11
Print name Signature Date
rev 2 .23 2010