1996 Diffley Rd - COC1 City of Evan
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: V LQ G
1 City of Etan
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201_ 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 PERFORMED
n 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 required corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked. , ased on a review of the Sewer Service video inspection /report on file, it is
recommended that , • ': r ' . • tiring or future inspections be performed to minimize a pot tial blockage due to:
Grease Build -up, t r ft I r . n . Dip /Settlement in Pipe, Other: �(Y i i d\_Ga ' r
1.0 p _ t 1 °) - Dlhe
Print name O Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010