4049 Diamond Pt - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: u 4q tJ t 0.-M.0 '0,6)
COMPLIANCE WITH INI TIAL INSPEC LION
IQ_ This is to certify that the property listed above has been inspected by authorized City personnel on ' , 201 O
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE 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):
City Sanitary Sewer Permit City Plumbing Permit
White Copy: Property Owner
City of hp
NOTE,: Applicable only if box is checked.:sed on a review of the Sewer Service video inspection /report on 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: ' YVtZ, Weikrt C , 4243 1 0S - 1 - 1 -4 3
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2.23 2010