3974 Riverton Ave - COCCity of Ea ll
City of Eatan
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SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: .qC \j-eV
COMPLIANCE WITH INITIAL INSPECTION
T his is to certify that the property listed above has been inspected by authorized City personnel on �J ate, 201_
and found to be in compliance with Section 3 40 of the City Code and no corr ective 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE, Applicable only if box is checked:l on a review of the Sewer Set vice video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperf ed to minimize apotential blockage due to:
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Grease Build -up, Rootlntrusion, .Dip /Settlement in Pipe, Other: � O_v _ 0 I _ -
City Appr / __ 46-L, ('cam / /-3Ic'3T
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23 2010