4771 Cypress Pt - COCCity of kn.
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr Address: t " "1 CLA f. S S --
COMPLIANCE WITII INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on
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):
n City Sanitary Sewer Permit City Plumbing Permit
City of Eakan
2010
NOTE Applicable only if'bor is checked, ❑Based on a 7eview 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„
1 tJ
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010