1999 Diffley Rd - COCCity of apll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
COMPLIANCE WIT H INITIAL INSPEC TION
This 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 Cade and no corr ective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
X 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 r equired corrective repair work under (check all that apply):
Ci ty Sanitary Sewer Permit ❑ 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 periodic cleaning or future inspections beperformed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
s *AI
City Approved: A E 5 l CZ I l °� ItY"7"
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eapll
0
rev 2 23.2010