4621 Stonecliffe Dr - COCCity of Eaaa
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Proper Address: (o l Y\ -e \
COMPLIANCE WIIH INITIAL INSPEC ZION
his is to certify that the property listed above has been inspected by authorized City personnel on 20IL
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORREC IIVE WORK PERFORMED
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):
City Sanitary Sewer Permit fl 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:
\ -A-cuaL
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eafaa
rev 2.23 2010