4626 Stonecliffe Dr - COCCity of Evan
City Approved:
City Sanitary Sewer Permit
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on J / /', 201 C)
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE Al IER 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):
NOT& .Applicable only if box is checked: UBased on a review of the Sewer Service video inspection /report an 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, Other:
Signature Date
Yellow Copy: City of Eagan (Parcel File)
n City Plumbing Permit
City of bp
i t :2._. i2 l Lam_
rev 2 23 2010