3954 Pumice Ct - COC411 City of EapIl
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan
City of Eagan, Minnesota
Property Address: � SL-t Pum ; Cam. CO L`ti
COMPLIANCE WITH INIIIAL INSPECTION
-•This is to certify that the property listed above has been inspected by authorized City personnel on - 4, 201 J
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired
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 Permit n City Plumbing Permit
NOM: Applicable only if box is checked, Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections he performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 1 �K I f f .� O i
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F rev 2.23 2010