4260 Limestone Dr - Certificate of ComplianceCity of Etall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of hp
City of Eagan, Minnesota
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Property Address: 0 !.—! V\IV J
COMPLIANCE WITH INITIAL INSPEC I ION
.This is to certify that the property listed above has been inspected by authorized City personnel o n I S - � , 201 -
and - found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n 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 (Based on a review of the Sewer Service video nspect�n/repoFt on file, it is
recommended thai periodic cleaning or future inspections be performed to minimize a potential blockage due to:•
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other::
City Approved: Vv / \ / / sin i / a c9 I
Print narne Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2010