1805 Cliff Rd - COC4b. City of Evan
City Approved: JAA.(Es M4 7/
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1$ O Ci ; F RA
COMPLIANCE WITH INIIIAI, INSPECTION
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This is to certify that the property listed above has been inspected by authorized City personnel on d �o I Z3 , 20H
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
fl 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):
fl City Sanitary Sewer Permit City Plumbing Permit
NOTE.: Applicable only if box is checked: URased 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
Yellow Copy: City of Eagan (Parcel F ile)
City of Ea al
rev. 2 23 2010