4667 Ridge Cliffe Dr - COCCity of Et all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: t°� t�� f_tL 0Y -- e----
COMPLIANCE WITH INIIIAL INSPECTION
c This is to certify that the property listed above has been inspected by authorized City personnel on 4 ` . 201_C)
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
City Approved:
i 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 n City Plumbing Permit
NOTE: Applicable only if box is checked: I '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:
White Copy: Property Owner
vv-
Print name
Y\o-L,Af,
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of hp
rev 2.2 2010