1807 Bluestone Dr E - COC41 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of Eagan, Minnesota �{�
Property Address: %t 1 B k V2-S VO "NN. `i J l E
COMPLIANCE WIT H INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on •- 1 L , 20i_1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERIORMED
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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit 1 City Plumbing Permit
White Copy: Property Owner
NOTE: Applicable only if box is checked:4ased 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 blo kage due to.:
Grease Build -up, !rot Intrusio Dip /Settlement in Pipe, Other: 'D--ca . S 'E 4 ( 3 6 SC
d iOirk - `s
City Approved: `t - -- I �� V P -L. — l (''` I
Print name v Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev. 2 23 2010