1778 Bluestone Dr E - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
1 - 7-7 e) E . et_u Es �P...
City of Evan
COMPLIANCE WIIH INITIAL INSPECTION
v" 't his is to certify that the property Listed above has been inspected by authorized City personnel on 3 /28 , 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
1
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):
n 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 performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other,
City Approved: J kMES 14Prar J/ � U l / ISO j i
Date
White Copy: Property Owner
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010