4795 Eriks Blvd - COCCily of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Pr opet ty Addt ess:
City of Eagan, Minnesota
City of Ea all
COMPLIANCE WITH INI IIAL INSPECI TON
_Ihis is to certify that the property listed above has been inspected by authorized City personnel on 6 ,201
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
H 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 U City Plumbing Permit
NOTE r . Applicable only if box is checked, I Based on a review of the Sewer. Service video inspection/report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other .°
City Approved: V� �� �� /
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
rev, 2 23 2010