3875 Riverton Cir - COC41 City of Ea)all
City Approved: 14E5 AtA
Property Address:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
7 J — eN . e s ' C c re- L
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 4 l�f" , 2011
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
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):
City Sanitary Sewer Permit n 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 perform d to niniinize a poteWial blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Wipe, Other: f< Oc 1 t
Yellow Copy: City of Eagan (Parcel F ile)
411 City of Eagall
rev. 2 23 2010