3880 Riverton Ave - COC41,0 City of Evan
iI
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: � U ,v . } U vs 1^\1
COMPLIANCE WITH INIIIAL INSPECTION
This is to certify that the property Iisted above has been inspected by authorized City personnel on 1 201 /
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE 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
NOTE Applicable only if box is checked: uBased 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 blockage due to:
Crease Build-up, Root Intrusion, Dip /Settlement in Pipe, Other:
f)
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
4 City of E8i811
rev. 2 23 2010