4286 Fox Ridge Rd - COCCity of Evan
City Approved: I&L
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address;
City of Eagan, Minnesota
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property Iisted above has been inspected by authorized City personnel on ' L , 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 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 f ' City Plumbing Permit
NOTE. Applicable only if box is checked; nBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize a potential blockage due to:.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
\ Lc fD l (/ 1
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
41 City of Evan
rev 2 .23 2010