4235 Sandstone Dr - COCII
City of bp
n City Sanitary Sewer Permit
City Approved: 1 Or.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
COMPLIANCE WITH INI I IAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on — Lo. , 201 Q
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE WORK PERFORMED
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 collective repair work under (check all that apply):
7 City Plumbing 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 periodic cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
Signature
Yellow Copy: City of Eagan (Parcel 1 ile)
I
Date
City of Eapll
rev 2 23.2010