1150 Town Centre Dr - COCl City of Ea ll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 'vv
COMPLIANCE WIIH INITIAL INSPEC LION
-'This is to certify that the property listed above has been inspected by authorized City personnel on ,_. , 201_(
and found to be in compliance with Section 3.40 of the City Code and no corr ective wor was requ €red.
COMPLIANCE AF IER 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 I j City Plumbing Permit
City Approved: t v\A \A-EL
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
NOTE: Applicable only if box is checked: UBased on a review of the Sewer Service video inspection /repott 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,
ti .signature
Date
4 4 /11* City of flap
rev 2.23 2010