4830 Steeplechase Cir - COCCity of Ea al
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: i/gg O j PLE¢#` Cie
COMPLIANCE WI1H INITIAL INSPECZION
This is to certify that the property 'listed above has been inspected by authorized City personnel on . '25 , 201
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required.
COMPLIANCE AFTER 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 corrective repair work under (check all that apply):
n City Sanitary Sewer Permit 1 City Plumbing Permit
4 1/I City of kali
NOTE 7 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 be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.
City Approved: -. S g-44,7-e-/
Print name
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010