1394 St Andrew Blvd - COC41 10 / City of Eagan
City Approved:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
is This is to certify that the property listed above has been inspected by authorized City personnel on / z / Z.-, 201_
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
7 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 repait work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
Print name
City of Eagan, Minnesota
t3qL-{ 6-rAfe-k-u
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
41 City of Eagan
NOT::. Applicable only if box is checkedr (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 lntrusion, Dip /Settlement in Pipe, Other,
Signature Date
rev 2 2a201