4019 Cinnabar Dr - COCd City of Eaaan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of lagaI
City of Eagan, Minnesota
Property Address: 1 46 1 V -Q,
COMPLIANCE WITH INITIAL INSPECTION
M . This is to certify that the property listed above has been inspected by authorized City personnel on — U, 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
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):
1
City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE. Applicable only if box is checked: °`rased on a review of the Sewer Service video inspection /report on file, it is
recommended that pe ':. is cte g or future inspections be performed to minimize a potential blockage due to,.
Grease Build -up, R. rt Intrusio yip /Settlement in Pipe, Other., '� •
City Approved: / tvl r / !' � J g-Q t l
Date
Print name
White Copy: Property Own ex
Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010