4248 Moonstone Dr - COC41 City of Evan
City Approved:
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Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: `" MO 0 a \A–t. (t V
COMPLIANCE WIIH INITIAL INSPEC ZION
his 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 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):
City Sanitary Sewer Pernnit n City Plumbing Permit
NOTE: Applicable only if box is checked/ 7 Based on a review of the Sewer Service video inspection /report on file, it is
recommended thatperiadlc'Cteatnitag or future inspections be performed to minimize a potential blockage due to:
Grease Build-ii Root Intrusion ip /Settlement in Pipe, Other: --7?" .5 Pi' 1 - 1 - 1 ( (7 0 SS L
0tA.
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of is all
rev 2 23 2010