4637 Stonecliffe Dr - COC11 City of Evan
City Approved:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesotp
C4 fCe. 1
Proper tyAddress: d `-Y3
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 20l
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 corrective repair work under (check all that apply):
Z 4,-, 14
Print name
C City Sanitary Sewer Permit 1 City P umbing Permit
NOTE: Applicable only if box is checked: nBased 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:
Gc / 1 L 1 C
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
City of Eaarr
rev 2 23.2090