2011 Diffley Rd - COCCity of &pit
n City Sanitary Sewer Permit
City Approved: 1 V"—
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: -O 1
oxcA--k. a0_6
COMPLIANCE WIIH INITIAL INSPECIION
g r _ahis is to certify that the property listed above has been inspected by authorized City personnel on , 2016
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE 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 ):
City Plumbing Permit
NOTE, Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning or future inspections be per - or m , ed to_rninimiz a potential blockage due to:
Gre+ se Build -up, Root ntr s' on, Dip /Settlement in Pipe, Other 1 4‘ ( 4 , °(
- 0 as s--
Signature
Yellow Copy: City of pagan (Parcel F ile)
/ �1
Date
411 City of Eqpt
rev 2 23 2010