4306 Fox Ridge Rd - COC10 City of 6api
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
400k City of Eagan
City of Eagan, Minnesota
Property Address: L a LT 2LSE ZP_sa ciL
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property Listed above has been inspected by authorized City personnel on 3 , 201_I
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
L 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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked.: (Based on a review of the Sewer ,Service video inspection /report on file, it is
recommended that periodic cleaning Of future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip/Settlement in Pipe, Other.:
City Approved: J v
Print name
White Copy: Property Owner
(to. l /267-3-6
Signature Date
Yellow Copy: City of Eagan_ (Parcel File)
rev. 2 23.2010