4235 Moonstone Dr - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
LA City Sanitary Sewer Permit fl City Plumbing Permit
White Copy: Property Owner
City of EaRall
City of Eagan, Minnesota }
Property Address: y j� ! r \ 0 - Y v -
COMPLIANCE win" INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on L I ' 3 , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECFI4VE WORK PERFORMED
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):
NOTE: Applicable only if box is checkedDrsed on a review of the Sewer Service video inspection /report on file, it is
recommended thatperi din de ping or future inspections be performed to minimize a potential blockage due to:
Grease Build -up oot Intrusion, .� ip /Settlement in Pipe, Other„ 1 1=-'1—
S01, 1 . ±C C - to y - e- q lf. --
City Approved: - \ VVA._ l 1;4 LL,. / .--\.o..A.A , / / (.4 / )
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010