4329 Sandstone Dr - COCCity of
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1- 1 : 3 - D- 1/ 1 Jf 1I�
COMPLIANCE WITH INITIAL INSPECTION
A . This 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 AF IER CORREC TIVE 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked,
I4Based on a review of the Sewer Service video inspection /report on file, it is
recommended that ., eaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -u Root Intrusion; Dip /Settlement in Pipe, Other: \ t 3 -S t �S '
City Approved: on. \ .1,L
Print name
White Copy: Property Owner
7Z,K) '7- / i 6
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Ea a
rev 2.23 2010