1383 St Andrew Blvd - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of Eagan, Minnesota k
Property Address: -- � \C. ✓`e (3 l v )
COMPLIANCE WITH INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on t{ - , 201D
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
Ii This is to certify that the property listed above bas 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 f City Plumbing Permit
NOTE; Applicable only if box is checkedeBased 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 a potential bloc, age due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: c ,
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010