4308 Sandstone Dr - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eqpt
City of Eagan, Minnesota
Property Address: L A 0< SO -NASVO 1`.- Y \ \f
COMPLIANCE WIIH INITIAL INSPECIION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on — 201_0
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
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):
7 City Sanitary Sewer Permit n City Plumbing Permit
NOTE; Applicable only if box is checked on a review of the Sewer Service video inspection /report on file, it is
recommended that pp-iodi ing or future inspections be performed to minimize a potential blocks e du tor
Grease Build-up, ant Intrr•«ox„ ip /Settlement in Pipe, Other„ ""---- :\ C� vo J V� G __Q OA.G ,d
p
City Approved: W'
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2010