4283 Gadwall Ct - COC411 City of Ra a
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eta
City of Eagan, Minnesota
Property Address: vb EtJ R J! C1
COMPLIANCE WITH INITIAL INSPECTION
,F4 This is to certify that the property listed above has been inspected by authorized City personnel on 06 it? > 2011
and found to be in compliance with Section 3.40 of the City Code and no conective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
Ihis 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: 1 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: j' - tE3
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel pile)
rev 2 23.2010