4619 Ridge Cliffe Dr - COC1 , 11 ' City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City oiEapll
City of Eagan, Minnesota
Property Address: I A Y Lq Q C Cl i C 0
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201 (i
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 PERT ORMED
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 corr ective repair work under (check all that apply):
7 City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked.: FIBased 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 blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 1 ti_
Print name
-7 /ra /D-O
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile) rev. 2 23 2010