4847 Sheffield Cir - COC411 City of Eagan
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: cke_
COMPLIANCE WITH INITIAL INSPECTION
X Ihis is to certify that the property listed above has been inspected by authorized City personnel on / / Z
and found to be in compliance with Section 3.40 of the City Code and no corr ective 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 corrective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
NOT:: Applicable only if box is checked: rBased 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:
�-, 1- -42c,1 , C iL , /24/4/
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Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
City of Earl
201
rev 2 23 2010