4266 Sandstone Dr - COC40- City of Eagan
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fox
INFLOW & INFILTRATION
City off Eagan, Minnesota
Property Address: SC-US v
COMPLIANCE WIIH INIIIAL INSPECIION
T his 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 AFTER CORRECTIVE WORK PERFORMED
ri 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):
7 City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked: ased on a review of the Sewer Service video inspection /report on file, it is
recommended t tperaodic el g or future inspections be performed to minimize a potentialblocka a due to
Grease Build -up, ' + + + = '+ e t enrent in Pipe, Other.: l 0 ! ti 3 i-#. � ] . c
l t \ � / r
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
4 /111k City of hp
rev 2.23 2010