1840 Pumice Pt - COC411 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE froi
INFLOW & INFILTRATION
Property Address:
C'fty of Eagan, Minnesota
17 110 Goa..
411 City of hap
COMPLIANCE WITH 4L INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on � , 201j
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AT IER CORRECTIVE WORK PERFORMED
U 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 requited corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: EJBased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic 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: J 67)
Print name Signature
White Copy: Property Owner
5— /G! !I
Date
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010