4329 Woodgate Lane N - COC4 City of Ekan
City Approved:A A
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 3 Z9 tjaCti et - le t i f•-)
COMPLIANCE WITH INITIAL INSPECTION
FA This is to certify that the property listed above has been inspected by authorized City personnel on CAS (2 - 7 , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE APIER CORRECTIVE WORK PERIORMED
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 required corrective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOM: Applicable only if box is checked r [ 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:
Signature Date
— f 1
City of Evan
Yellow Copy: City of Eagan (Parcel File) rev 2 23.2010