1465 Richard Ct - COC4 111. City of Eagan
City Sanitary Sewer Permit
City Approved : LA AK
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
N L C 3 r C0
COMPLIANCE WITH INITIAL INSPECTION
171 is to certify that the property listed above has been inspected by authorized City personnel on / , 2010
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER 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):
7 City Plumbing Permit
NOTE.. Applicable only if box is checked: UBased 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 for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Signature Date
Yellow Copy: City of Eagan (Parcel File)
0 1�
City of Eatall
rev. 2 23.2010