4221 Diamond Dr - COC411 City of Eap
City Approved:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 0 i CLV .G . 0 t V
COMPLIANCE WIIH INITIAL 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 AF TER CORRECIIVE WORK PERFORMED
7 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked:ased on a review of the Sewer Service video inspection /repor t on file, it is
recotnmended that periodic cleaning or future inspections be performed to minimize a pote tial b ockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: / L 6 N
A -7\e-Li �. �.
Print name
White Copy: Property Owner
1 City of Eag,n
w' , - , a `mil G k �..
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2.23 2010