4625 Ridge Cliffe Dr - COCCity of Catall
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel Pile)
City of Eagan, Minnesota (�
Property Address: �� t Olt
COMPLIANCE WII1I INIIIAL INSPECTION
City of kali
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This is to certify that the property listed above has been inspected by authorized City personnel on , 201
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
n 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):
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 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: T1 #C�� —�` -. / t / L(3 (20 [ C�
Print name Signature Date
rev 2, 23 2010