2090 Diffley Rd - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea al
City of Eagan, Minnesota
Property Address: ati 9 0
COMPLIANCE WHIT INITIAL INSPECTION
4} This is to certify that the property listed above has been inspected by authorized City personnel on " < t , 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
1
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
n City Plumbing Permit
_NOTE: Applicable only if box is checked: ased 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-us ' oot Intrusion; Q ip /Settlement in Pipe, Others L 4 - f �' l c o P +
City Approved: 0A.
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel Fiie)
rev 2. 2010