4669 Stonecliffe Dr - COCCity of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: L I (c. Q t S in- C
COMPLIANCE WIIH INITIAL INSPECTION
—phis 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 corrective work was required
COMPLIANCE AF TER CORREC FIVE 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 (check all that apply):
City Sanitary Sewer Permit
NOTE,: Applicable only if box is checked:1 '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:
Print name Signature
White Copy: Property Owner
City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
la_o
Date
City of Eapll
rev 2.23.2010