685 Stonewood Rd - COCCity of Eapll
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
A City of Eart
City of Eagan, Minnesota
Property Address: 5u t1 mil) OG & 1
COMPLIANCE WITH INITIAL INSPECTION
4...This is to certify that the property listed above has been inspected by authorized City personnel on L , 201 CD
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
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
NOTE: Applicable only if box is checked.: Based on a review of the Sewer Service video inspectionheport 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: vtr\_ O. L\ 6
Print name Signature Date
rev 2 23 2010