4259 Moonstone Dr - COC4 , 1 ' City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fat
INFLOW & INFILTRATION
41 City of BaQaIl
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
4 .1.11is is to certify that the property listed above has been inspected by authorized City personnel on 3 , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER 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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked:" Based on a review of the Sewer Service video inspection /report on file, it is
recommended that peritrdre or future inspections be performed to minimize a potential lockage due to:
Grease Build -up, oot Intrusion, ip /Settlement in Pipe, Other: ao
City Approved: J \ \ l \-iserwArf= / / -en 1
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
rev 2.23 2010