4728 Covington Ct - COCCity of Ea I
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of Etall
City of Eagan, Minnesota
Property Address: L-01 r-? CSC "N“`y..
COMPLIANCE WIIH INITIAL INSPECTION c �
This is to certify that the property listed above has been inspected by authorized City personnel on 1 4 - , 201_0
and found to be in compliance with Section 3..40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
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 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 ap tentialblockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: 1 t n 'e Y CuI R � � `' -- 44 -s
City Approved: VV'` / LA Js! - aQ
Print name Signature Date
rev 2.23 2010