4287 Sun Cliff Rd - COCCity of Ew an
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITII INITIAL INSPECIION
1
This is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City � Code and no con work was required 241
COMPLIANCE AFIER CORRECTIVE WORK PERFORMED
ir is to certify that the property listed above has been found to be
compliance h 5 ion 3.40 of the City Code
c
ri Cit Sanitary Sewer Permit
City Plumbing Permit
after satisfactorily completing the required corrective repair work under (chek all that
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 beperformed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved.�C)
Print name
White Copy: Property Owner
reL
Signature
'L /
Date
Yellow Copy: City of Eagan (Parcel F ile)
41 City of Eagan
rev. 2 23.2010