4317 Fox Ridge Rd - COCSANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
1
City of Etc'
City of Eagan, Minnesota
Pr opet ty Address: V \ 0-0
COMPLIANCE WITH INITIAL INSPEC TION
7 is to certify that the property listed above has been inspected by authorized City personnel on 6" ' , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE Al TER CORREC TIVE 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):
n City Sanitary Sewer Permit City Plumbing Permit
White Copy: Property Owner
City Approved: t V `� /
Print name
NOTE:; Applicable only if box is checked: Based on a r eview 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 for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
City of Eagan
rev 2 23 2010