4259 Sandstone Dr - COCCity of f a a
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
COMPLIANCE WITH INIIIAL INSPEC HON
Print name
City Approved: A l �Vt
City of Eagan, Minnesota
his is to certify that the property listed above has been inspected by authorized City personnel on l i'� , 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
J] 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):
City Sanitary Sewer Permit City Plumbing Permit
Signature
Yellow Copy: City of Fagan (Parcel File)
City of Eapa
NOTE: Applicable only if box is checked8ased on a review of the Sewer Service video inspection /report on file, it is
recommended thatpe 'r eaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, ' oot Intrusion Di /Settlement in Pipe, Other: a .S� ' 13- -
Date
rev 22