3853 Cinnabar Dr - COC411 City of Ekan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of EapIl
City of Eagan, Minnesota
Property Address: D 5 5 0 k v� v C Y Y V `C_r
COMPLIANCE WIIII INITIAL VII— 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 IER CORRECTIVE WORK PERFORMED
7 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 Permit n City Plumbing Permit
NOT Applicable only if box is checked: UBased 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 to:
Grease .Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: vh ''u I \,�„ t,�.L.li j/ ( � t7 C] if
Print name Signature ( Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev. 2. 2 . 3 2010