689 Stonewood Rd - COC41 City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of [E�a�g, Eagan, Minnesota {�
Property Address:
Wc5 1 St'( 1'c V� t) o C C �=k1
COMPLIANCE WITH INIIIAL INSSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel on` 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 CORREC IIVE 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 repair work under (check all that apply):
City Sanitary Sewer Permit City Plumbing Permit
City Approved: Vs"-
L SLL
Print name
White Copy: Property Owner
NOTE: Applicable only if box is checked.: UBased 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
\A-ciA,Ltk(' c`l0-5/
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010