4904 Steeplechase Ct - COC4 City of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapt
City of Eagan, Minnesota
Property Address: H 0 S t.P'e &SAS Co
COMPLIANCE WITH INIIIAL INSPECTION
-fhis is to certify that the property listed above has been inspected by authorized City personnel on l , 201_
and found to be in compliance with Section :3.40 of the City Code and no corrective work was required
COMPLIANCE At TER CORRECTIVE WORK PERFORMED
7 Ihis is to certify that the property Iisted 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 1 City Plumbing Per mit
NOTE: Applicable only if box is checked:I 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 a potential blockage due for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 1 or,- t \
Print name
White Copy: Property Owner
4a-C1C tZ l
Signature Date
Yellow Copy: City of Eagan (Parcel File)
D-4,1 D-0 f
i.
rev 2 23.2010