4338 Fox Ridge Ct - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
to
Propetty Address: L 3-3% FcX I C c �
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on D / 3 — , 201
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
I I 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 corr ective repair work under (check all that apply):
City Sanitary Sewer Permit 0 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 a potential blockage due to:
Grease Build -up, Root intrusion, Dip /Settlement in Pipe, Others
City Approved: 3
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel Flie)
1
Date
41 City of hp
t
rev. 2 23 2010