1856 Pumice Pt - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 Z' y PuLvvvi
CrL.
COMPLIANCE WIIH INITIAL INSPECTION
rr his is to certify that the property listed above has been inspected by authorized City personnel on - / t , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORREC TIVE WORK 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
City Approved: 4/Dei
Signature Date
City of Evan
NOTE: Applicable only if box is checked.r UBased on a review of the Sewer Service video inspection /report on file, it is
recommended that pet iodic cleaning or facture inspections be perfortned to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other,
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010