3950 Riverton Ave - COCCity of Eaiall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 5 iq G' '
COMPLIANCE WITH INITIAL INSPECTION
Il
City of Eapll
This is to certify that the property listed above has been inspected by authorized City personnel on , 201_
and found to be in compliance with Section :3.40 of the City Code and no corrective work was r equired
COMPLIANCE AFTER 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 corr ective rea 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 or future inspections be performed to \minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other,.
White Copy: Property Owner
City Approved: G 1" - )5A �l e/�'`�'
Print name °" Signature Date
(zh 1
Yellow Copy: City of Eagan (Parcel File) rev 2 23.2010