886 Wescott Tr - COCCity of Don
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
11 City of Evan
City of Eagan, Minnesota
Property Address: �h S C u t) C� L
COMPLIANCE WITH INITIAL INSPEC I ION
"1–.:This is to certify that the property listed above has been inspected by authorized City personnel on — T --, 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF I ER CORRECTIVE WORK PERFORMED
Ihis 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
NOTES Applicable only if box is checked, eased an a review of the Sewer Service video inspection /report on . file, it is
recommended that periodic cleaning or future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root intrusion, Dip /Settlement in Pipe, Other„
City Approved: \ v\-- \-k. L
Print name
White Copy: Property Owner
1(
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2 .23 2010