4242 Sandstone Dr - COC411 City of Ea all
City of Eagan, Minnesota
Property Address: �� ^ }r - SCA- j v
COMPLIANCE WITH INITIAL INSPECTION
4 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
-his is to certify that the property Iisted above has been inspected by authorized City personnel on 1 3 C , 201 (D
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
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):
n City Sanitary Sewer Permit
City Approved: \. li / 1 i► / t'a 6-610
Print name Signature Date
n City Plumbing Permit
NOTa Applicable only if box is checked ' `Based on a r eview of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to mini ize a potential blockage due to
Grease Build -up, d Intrusion, ip /Settlement in Pipe, Other: 3S-
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010