4545 Johnny Cake Ridge Rd - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE foi
INFLOW & INFILTRATION
City of Eagan, n
Property Address: x}545 �T060n � Kticb Rt1
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on es , 201J
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFIER CORRECTIVE WOR( 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only f 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 mini ize a ppetential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: 10 0), e pre- : Ilo
City Approved:
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F
l
Date
5
3
City of hp
li
rev. 2 23.2010