4871 Knottingham Cir - COCCity of Dan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Addy ess: %l
COMPLIANCE WITH INIIIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on '' , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE Al IER CORRECTIVE WORK PERFORMED
n 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 r epair work under (check all that apply):
City Sanitary Sewer Permit ; City Plumbing Permit
NOTE: Applicable only if box is checked. aced on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to 1 ininjize a po.ential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: * Cr • M M ' -
- a-6 - 3s - ,71
City Approved: � Nye � t,— / 6 . ( / J / I .) 0
Date
White Copy: Property Owner
Print name Signature
Yellow Copy: City of Eagan (Parcel F ile)
City of Dm'
rev 2 23 2010