1110 Town Centre Dr- COCCity of Ea pll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 , 11 `' City of Evan
City of Eagan, Minnesota "
Property Address: 1 1 1. 0 ��� W "� � �Y
COMPLIANCE WITH INITIAL INSPEC TION
`F1 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 AFIER CORRECIIVE 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 requited corrective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
1 -1 , 201 1
NOTE: Applicable only if box is checked: USased 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: •S '• v .
Print name
White Copy: Property Owner
Ci.L d 2 -SO 'D I
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010