4828 Steeplechase Cir - COC4 City of EaRan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of EaRan
City of Eagan, Minnesota
Property Address; t L S Ci \l
COMPLIANCE WITH 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 AF TER CORRECIIVE WORK PERFORMED
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
NOTE:. Applicable only if bo.x is checked: 'Based on a review of the Sewer ,Service video inspection /report on, file, it is
recommended that periodic cleaning or future inspections beperformed to minimize a potential blockage due to:
Gre se Build -u , Root Intrusion, Dip /Settlement in Pipe, Other.;
City Approved: \ fILL L _.
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Fagan (Parcel File)
al
Date
rev 2 23.2010