4653 Summit Pass - COCCity of Eagan
I I
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
41 City of Eagan
Property Address: k -73 S i1VV1
COMPLIANCE WIT II INITIAL INSPEC ZION
This is to certify that the property listed above has been inspected by authorized City personnel on j ] , 201
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
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 n City Plumbing Permit
NOTE: Applicable only if'bo.x is checked: 1 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 Intrusion, Dip /Settlement in Pipe, Other:
City Approved: - \/L- 1,L. / l I (! a C i
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel f ile)
rev 2 23 2010