4294 Sunrise Rd - COC41 City of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
1 City of Evan
City of Eagan, Minnesota
Property Address: / ZT 4 7 V,1 r! c& I'
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property Iisted above has been inspected by authorized City personnel on ‘1, 201_1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER 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 that apply):
I I City Sanitary Sewer Permit n City Plumbing Permit
NOTE.: Applicable only if box is checked: UBased 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: JAMES ' l rt / ` ( 3---
1
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel Pile)
rev 2, 23 2010