4624 Ridge Cliffe Dr - COCCity of Casa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 4 b D- f C Z A. c �_. 11 '� O'/¼ \J -
COMPLIANCE WITH INITIAL INSPEC IION
This is to certify that the property listed above has been inspected by authorized City personnel on 4'
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
City of Ckon
,2010
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):
n City Sanitary Sewer Permit 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 peri earring or future inspections be performed to minimize a potential bloc age due to:
Grease Build -up, ' rotlntrusior Dip /Settlement in Pipe, Other: S F+ ( PQ SS % 1431
City Approved: \- t "k / v..._ \i' ( / L / �� U (a.
Print name U Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev. 2.2.3.2010