709 Stonewood Rd - COCCity of Ea ail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota ()j (�
Property Address: 6 y \-.\--e__1/4.600 6 e_o �@J
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on '" , 201 C)
and found to be in compliance with Section 3 40 of the City Code and no corr ective 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
White Copy: Property owner
fi City Plumbing Permit
City of EaRall
NOTE: Applicable only if box is checked: UBased on a review of the Sewer Service video inspection /report on file, it is
recommended thatperiodic cleaning or future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: - dv` l I S4Z I >3 J'a-(t
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2,23 2010