3955 Cinnabar Dr - COCd e ll ` City of i pall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 3 v\.V av
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on a` , 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 PERFORMED
Ihis 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 r equired corrective repair work under (check all that apply):
1 f City Sanitary Sewer Permit City Plumbing Permit
NOM: Applicable only if box is checked on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfor ed to minimize a potential blockage due to
Grease Build-up, t • ntr Wirt Iip /S ttlement in Pipe, Other, -mss , 7 4 l M
City Approved: 1 %An- k 1, i l it - "�� C yti ‘ v . -\ . „
Print name Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
City of Ea all
rev 2.232010