4324 Sandstone Dr - COC4 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea all
City of Eagan, Minnesota
Property Address: /--[ 3 Oft \J
COMPLIANCE WII H INIIIAL INSPECTION
, This is to certify that the property listed above has been inspected by authorized City petsonnel on ` a , 2010
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
pi 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 1 1 City Plumbing Permit
NOTE: Applicable only if box is checked::A3ased on a review of the Sewer Service video inspection /report on file, it is
recommended that per 'r • eaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -.up 'oot Intrust o ,Dip/Settlement in Pipe, Other:
City Approved: l V\n. .- / \-- /
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile) rev 2 . 23 2010