4261 Diamond Dr - COCCity of Eapft
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of Eagan, Minnesota
Property Address: I A A �; .VY - f 0 '61 �-
COMPLIANCE WIT H INITIAL INSPECTION
This 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 AE TER 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
NOTE: Applicable only if box is checked:Pirtised on a review of the Sewer Service video inspection/report on file, it is
recommended that per cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, ootIntrusio Dip /Settlement in Pipe, Other 4
City Approved:l
Print name
White Copy: Property Owner
n City Plumbing Permit
• eat ) / a--O
Date
Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010