4241 Jasper Dr - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ,a 1 (IS Q I( C` V "2�
COMPLIANCE WITH INIIIAL INSPECIION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on — 1 - , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AE IER CORRECTIVE WORK PERFORMED
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 repair work under (check all that apply):
White Copy: Property Owner
Il City Sanitary Sewer Permit 1 City Plumbing Permit
City of Ea ll
NOT& Applicable only if box is checkedr fBased on a review of the Sewer Service video inspection /report on file, it is
recommended that pe ' ' ng or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, ootIntrusio ip /Settlement in Pipe, Other:
City Approved: J 1 VV . � y Vim_ I ° � 1 Vi 0 6_0
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010