4338 Sandstone Dr - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea p
City of Eagan, Minnesota
r
Property Address: J. �VS 1�1'� Y V,
COMPLIANCE WITH INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on -aL , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF 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
aftet satisfactorily completing the required corrective repair work under (check all that apply):
n Cit Sanitary Sewer Permit
Print name
City Approved: 1 On, 1 Z i7L kk
White Copy: Property Owner
City Plumbing Permit
NOTE: Applicable only if box is checked.: U&ased 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 a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
1 l 1) - / - a b
Signature Date
Yellow Copy: City of Eagan (Parcel F i1e)
rev 22 . 3 2010