4067 Cinnabar Dr - COCCity of Ea il
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: t'. 0_ (, s, v, i,t r 0. ✓ 'Y' I
City of.aall
COMPLIANCE WIIII INITIAL INSPEC ZION
„ is to certify that the property listed above has been inspected by authorized City personnel on 3 201
and found to be in compliance with Section .3 .40 of the City Code and no corrective work was required.
COMPLIANCE AFIER CORRECIIVE WORK PERFORMED
n 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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: 1 'Based 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: J 1 t/va. lrA,L,!-_.
Print name
White Copy: Property Owner
1;L.-
Signature
Yellow Copy: City of Eagan (Parcel File)
l
Date
rev 2 23 2010