3658 Ridgewood Dr - COC11 City of Eagan
City Approved: ) \
City of Eagan, Minnesota
Property Addr ess: � j� 3 t - �19 c)v
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
COMPLIANCE WITH INITIAL INSPECTION �s
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 Code and no corrective work was required
COMPLIANCE AFIER CORRECIIVE WORK PERF ORMED
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 1 City Plumbing Permit
NOTE: Applicable only if box is checked: rl Based on a review of the Sewer Service video inspection /report on fife, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
(1 4/ ' l (.)
City of Eapil
rev 2 23 2010