4358 Copper Pt - COCCOMPLIANCE WITH INITIAL INSPECTION
City of Eagan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: C_Q vo--
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 2010
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AP TER CORRECTIVE WORK PERFORMED
n Ihis 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 r epair work under (check all that apply):
City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked. :used 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 ap tentialblockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: S [�g �. j`� —
City Approved: 1 ln� k ati Ark / .� �� / 1 "C a7 `„, ( 6
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of 1a al
rev 2 23 2010