3963 Peridot Path - COCCity of EaRHH
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit City Plumbing Permit
4 1 ,0 1116 City of Eagan
City of Eagan, Minnesota
Property Address: ..c to 1 e- f ti E )* R -
COMPLIANCE WIIII INITIAL INSPECTION
F ' 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 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):
NOTE: Applicable only if box is checked; ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperforrned to minimize a potential blockage due to,
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved:
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev 2.23 2010