1815 Cliff Rd - COC41 City of Evan
City Approved: S �/
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: I c.L'A �Of
COMPLIANCE WITH INITIAL INSPECTION
21 Ihis is to certify that the property listed above has been inspected by authorized City personnel on 06 /z I , 201t
and found to be in compliance with Section 3 40 of the City Code and no con ective work was required
COMPLIANCE AY I ER CORRECTIVE WORK PERFORMED
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 thatapply):
City Sanitary Sewer Permit City Plumbing Permit
4 City of Evan
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 of future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
L Signature l Date / r
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010