1435 Wellington Way - COCCity of No
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of•Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on k 201_U
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
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):
City Sanitary Sewer Permit pi City Plumbing Permit
NOTE: Applicable only if box is checked: I lBased 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Print name
White Copy: Property Owner
City Approved: 1 uv\. LAC.
City of EapIl
Signature Date
Yellow Copy: City of Eagan (Parcel f ile) rev 2.23 2010