2066 Diffley Rd - COCCity of Eqpt
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Etali
City of E agan, Minnesota (�
Property Address: 'ao L L 0 ECG G. G
COMPLIANCE WITH INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on -)-`� --
, 201_0
and o d to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF' TER CORRECTIVE WORK PERFORMED
n 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 checkeased on a review of the Sewer Service video inspection /report on file, it is
recommended thatperio ' ' • • . ing or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, ► of Intrusion, tip /Settlement in Pipe, Other
City Approved: v� \' t�- ' �^ / \ CtK i ! � f D
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev. 2. 2010