1450 Wellington Way - COCCity of kali
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: y'�s i ■
COMPLIANCE WITH INITIAL INSPEC IION
is to certify that the property listed above has been inspected by authorized City personnel on ` 1 (i , 201 0
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
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 City Plumbing Permit
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City Approved: V / L; -- /SO-- / V t jab
Print name
4 City of Eagan
NOTE:. Applicable only if box is checked: LlBased 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:
rev. 2 23 2010