1798 Bluestone Dr E - COCl City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Eno
City of Eagan, Minnesota
Property Address: 1 6 ( 1ic ,S - 6
COMPLIANCE WITH INII [AL INSPECIION
- -This is to certify that the property listed above has been inspected by authorized City personnel on 1 , 201 )
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECIIVE WORK PERFORMED
n 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 box is checked.: Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfopmed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other. Q ti jtC 5 " 3G, ; f
City Approved: J k i' l.l k / / nr— LL f .. l f }Lt 1 30
Print name VVV Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.