4309 Eagle Crest Dr - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Fagan, Minnesota
Oq CEST tI
411 , 11 City of Evan
COMPLIANCE WITH INITIAL INSPECTION
EL This is to certify that the property listed above has been inspected by authorized City personnel on In I , 201i
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER 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 (heck all that apply):
City Sanitary Sewer Permit fl City Plumbing Permit
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 or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: eS IA - C4 T)-! / cut
Print name
Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
i - `7 I as /ii
Date
rev 2 23 2010