4072 Diamond Dr - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of Earl
i
City of Eagan, Minnesota
Property Address: ‘s iCfl a 'J C 0,014 In V .
COMPLIANCE WITH INITIAL INSPECIION
1is is to certify that the property listed above has been inspected by authorized City personnel on (� , 201 D
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORREC TIVE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit n 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 that pe rlic c . r ping or future inspections be performed to minimize a poj tial blocks a due to:
Grease Build -u ootIntrusion, itip /Settlernentin Pipe, Other: 3S- 4 , (0 l - ) ti 1 � cf
0 CuAkOk8 -2 C)( C3 -Cic. (ck -5 I 0 q
\emu: -- / 9 / VD f 1
Signature Date
City Approved: 1 v1A- t�
White Copy: Property Owner
Print name
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010