4670 Ridge Cliffe Dr - COC4 /* City of all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 4 Lo 0 (k. Q C-1..
COMPLIANCE WITH INITIAL INSPECTION
� O
i 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 AFIER CORREC JIVE WORK PERFORMED
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):
P1 City Sanitary Sewer 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 ,. r dic or future inspections be performed to_minimize a pot ntial blo age due to •
Grease Build -up, ' oot Intrusion, D p /Settlement in Pipe, Other: 4 �-° �� ! - \ 4,
City Approved:
Print name
White Copy: Property Owner
City Plumbing Permit
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
411 City of Evan
rev 2 23 2010
-30
