4301 Sunrise Rd - COCCity of Eakan
COMPLIANCE WITH INIIIAL INSPECTION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan,Minnesota
Pr ()petty Address: 0 \ C,e 24 0,1)
City of bp
is to certify that the property listed above has been inspected by authorized City personnel on Ln l
Y P' p ty P Y tY P
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
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):
Print name
City Sanitary Sewer Permit City Numbing Permit
NOTE:' Applicable only if box is checked.: jJBased 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:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other :
City Approved: An_ Signature / 6 ` 30/afs t(
`� Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
,201 j
rev 2 2.3 2010