1395 St Andrew Blvd - COC4 1/k City of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of EapIl
City of Eagan, Minnesota
Property Address: j315 c T , 47J Sty D
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on A.70,3 2-y , 201c
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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 r epair 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 that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: ;JAW E3
Print name Signature
White Copy: Property Owner
Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2.23 2010