3911 Riverton Ave - COC411 City of Baran
COMPLIANCE WITH INITIAL INSPECIION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: \ \ Q \R v +�
7 ` r his is to certify that the property listed above has been inspected by authorized City personnel on , 2Ol {
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
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 n City Plumbing Permit
NOTE: Applicable only if box is checked.ased on a review of the Sewer Service video inspection /report on file, it is
nti 1 lock Ke due to:
L 0
recommended that periodic cleaning or future inspections be performed to minimize a po
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.: )�•��a' C
City Approved: - s w* \ t,ji`'
Print name
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eaaall
rev 2,23 2010