1783 Bluestone Dr E - COC4 I 1 1 11 City of Eaaall
City Approved: \ JJQ W
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota /
Property Address: ! 7 73 2
COMPLIANCE WITH INITIAL INSPEC I ION
T his is to certify that the property listed above has been inspected by authorized City personnel on
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
n 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):
City Sanitary Sewer Permit U City Plumbing Permit
Print name
NOTE: Applicable only if box is checked: used 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,:
Yellow Copy: City of Eagan (Parcel File)
Date
City of bpi
24 ,201t
rev. 2.23.2010