4622 Stonecliffe Dr - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 4 /&2 57 CC— M
COMPLIANCE WIIII INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on ZZ , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORI'LED
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):
City Sanitary Sewer Permit I City Plumbing Permit
!VOTE, Applicable only if box is checked, UBased 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 lntrusion, Dip /Settlement in Pipe, Other:
City Approved: ' l / / GU
Print name Signature
White Copy: Property Owner
Date
4 City of hp
.5
Yellow Copy: City of Eagan (Parcel File) rev. 2 23 2010