4224 Sandstone Dr - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: T c 3 SC iii— Sk - CiY1
COMPLIANCE WITH INIIIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AT IER 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):
n City Sanitary Sewer Permit n City Plumbing Permit
Print name
White Copy: Property Owner
NOTE: Applicable only if box is checked:. aced on a r eview of' the Sewer Service video inspection /report on file, it is
recommended th . eriodic c � ning or future inspections be performed to minimize a potential blockage due to:
Grease Bui r % -up, Root Intrusion, ► 'r /S ttlement in Pipe, Other: 1 t
City Approved: tm._
City of Eagan
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3-4,/:.)_ Tb
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 223.2010