4676 Cambridge Dr - COCCity of ban
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE PLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
COMPLIANCE WITH INITIAL INSPECTION
n 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 AFTER CORRECIIVE WORK PERFORMED
n Ihis 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 re air work under (check all that apply):
fl City Sanitary Sewer Permit City Plumbing Per /& - Nit/Z-010
NOTE Applicable only if box is checked: L IBased 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, Oter
City Approved: J MES
7
Signature '' Date
69/14/2 e,
City of bpi
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F i1e) rev 2 23 2010