3948 Pumice Ct - COC4 4 1 , City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
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Property Address: 3 S' tL�i)V� i C
COMPLIANCE WITH INITIAL INSPEC TION
'This is to certify that the property listed above has been inspected by authorized City personnel on 4_ Li
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
Ihis 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; "Based on a review of the Sewer Service video inspection /report on file, it is
recommended thatper' : ' - tearing or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, ootintrusion, '►'ip /Settlement in Pipe, Other
City Approved: �� �wy� � a i - - l V�`llfr- l /26 l )
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
City of Ea an
,2011
rev 2.23 2010