4196 Topaz Dr - COCCity of Eden
City Approved:
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
White Copy: Property Owner
City of Eagan, Minnesota
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COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201_0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AT IER 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checkeda rtsed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to inimize apo ntial blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: cL 7 + 'p.- e. - `o vi. 1- S
Signature
l�
Yellow Copy: City of Eagan (Parcel File)
Date
City of hp
rev. 2 23201