4289 Sunrise Rd - COC4 City of Faun
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of Eapll
City of Eagan, Minnesota
Pr'oper' Address: L/ 2,5? ( 5 i ri t^t 4 re' f cd
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 03C) , 20
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
Ibis 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 fl City Plumbing Permit
NOTE Applicable only if box is checked: l jBased 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 apotential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: _-1
Print name
White Copy: Property Owner
tl4
Signalu
Yellow Copy: City of Eagan (Parcel File)
1
rev 2 23 2090