4298 Fox Ridge Rd - COCCity of kali
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRAITION
4 111. City of EaQaa
City of Eagan, Minnesota
Property Address: ' F e d
COMPLIANCE WIIH INITIAL INSPECTION
IM This is to certify that the property listed above has been inspected by authorized City personnel an d G / Z l , 2011
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
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., nBased 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 63 ,4e nV /
Print name i Signatur
l - / 5//1
Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile) rev 2 23 2010