4661 Stonecliffe Dr - COC4 11. City of Evan
White Copy: Properly Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, M nnesota
Property Address; S4 t1" -Q-
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on ` i /fi" , 201 CD
and found to be in compliance with Section .3 .40 of the City Code and no corrective work was required.
COMPLIANCE AFTER 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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit U City Numbing Permit
NOT& Applicable only if box is checked:. LiBased 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, Other;
City Approved:
Print name
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Ea yll
I i 4c /
Date
rev 2 23 2010