2081 Bluestone Dr E - COCCity of I a ,an
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ` l ;1 D N J
COMPLIANCE WIIH INITIAL INSPECTION
4 1 f _Ihis is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AE TER CORRECTIVE WORK PERFORMED
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 corrective repair work under (check all that apply):
fl City Sanitary Sewer Permit fl City PIumbing 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 e ' cleaning or future inspections be performed to inimize a otential blockage due to:
Grease Build-u Root Intrusion Dip /Settlement in Pipe, Other.: Cl 4. [ '' {
City Approved: �1 vv■ rcCtL
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
ca-laa
City of hp
, 2016
rev 2 23 2010