4737 Pebble Beach Way - COC411 City of EkaIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
41 City of Eagau
City of Eagan, Minnesota
Property ert Address: E 3 V Lh `�
1
COMPLIANCE WITH INITIAL INSPECTION /
, This is to certify that the property listed above has been inspected by authorized City personnel on / f /6? , 201_0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
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 fl City Plumbing Permit
NOTE: Applicable only if box is checked; Based 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: name
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
Signature Date
rev 2 23.2010