3864 Riverton Ave - COCCit j of Etall
City Approved: 1 1/\t\-.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: aL.4 eAV- 4 i ti -e___
COMPLIANCE WIIH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on L v , 201j
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF I ER C 0 RREC I I V E WORK PERU ORMED
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:- -biased on a r eview of the Sewer Service video inspection /report on file, it is
recommended thatperiodik -cl ning or future inspections be performed to phInimize a potential blockage due to:
Grease Build - `,.Rot Intrusion ft/Settlement in Pipe, Other: - ' 1
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
41 City of hp
rev 2 23.2010