688 Stonewood Rd - COCd City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
PIopedty Address: C. S V1' i OO h i ii
COMPLIANCE WITH INITIAL INSPEC TION
City of hp
lris is to certify that the property listed above has been inspected by authorized City personnel on 6 D , 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
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 1 ]Rased on a review of the Sewer Service video inspection /report on file, 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.;
City Approved: -7: Vv1 VA V� '
Print name
White Copy: Property Owner
vv, (-
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev. 2 23 2010