1322 St Andrew Blvd - COC41 City of Emil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: r at t?
COMPLIANCE WITH INITIAL INSPECTION
1
This is to certify that the property listed above has been inspected by authorized City personnel on : tJ_ `..Z , 20I-%
and found to be in compliance with Section 3.40 of the City Code and no corre ctive work was required.
COMPLIANCE AI IER 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 requir ed corrective repair work under (check all that apply):
City Sanitary Sewer Permit f I City Plumbing Permit
City Approved: 4/WO
Print name
NOTE Applicable only if box is checked, L]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:
Signature
/
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
Date
tiity of Eapil
5
rev 2 23.2010