2073 Bluestone Dr E - COCCity of Eaal
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPEC IION
. its is to certify that the property listed above has been inspected by authorized City personnel on tQ --
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TTVE 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):
El City Sanitary Sewer Permit City Plumbing Permit
NOTE, Applicable only if box is checkedased on a review of the Sewer Service video inspection /report on file, it is
recommended th o'tc c e' or future inspections be performed to minimize a o tential blockage du" for
Grease Buil . ,, Root Intrusion, , ,
S14- D, /Settlement in Pie, Other,
4 — .
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White Copy: Property Owner
City Approved:
Print name
I��MHt I�
Signature
Date
, 201
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010