700 Stonewood Rd - COC4 City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 0 S Yl t_ L 000 1
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 3 t , 201 0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
City Sanitary Sewer Permit IT City Plumbing Permit
City of hp
NOTE: Applicable only if box is checked: sed on a review of the Sewer Ser vice 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: 6.3.4 () .t — l.S 0 _,PCSS
City Approved: vv. d t°L / � 1 i q / [ 1 "R) f D
Print name Signature L Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23.2010
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