3995 Peridot Path - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota �,
Property Address: r � 2 o i -'��* y k
COMPLIANCE WIIH INITIAL INSPEC IION
7 This 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
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
City Plumbing Permit
NOTE: Applicable only if box is checked.. nBased 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 for
Grease Build -ups Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print name si
ignature w \._ Date
White Copy: Property Owner
Yellow Copy: City of Eagan, (Parcef-F:ile)::..._
City of Eapil
,201
_ r "ev 2 2-32010