4266 Moonstone Dr - COCCity of Emil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Of Eagan, Minnesota
Property Address: 00 AS: OYI€ ON V
4P City of Baran
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on _ '34 , 201 0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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 ased on a review of the Sewer Set vice video inspection /report on file, it is
recommended th i-odk- deasni g or future inspections be performed to minimize a potential blocks a due to:
Grease Build -u Root Intrusion ip /Settlement in Pipe, Other.: t 6:79 E
City Approved:
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010