1676 Sherwood Way - COC11 City of kali
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 icTf -e V WOO 6 � C �
COMPLIANCE WITH INITIAL INSPEC TION
F4--Tilis 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 AFTER CORRECTIVE WORK PERFORMED
l� 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):
fl City Sanitary Sewer Permit City Plumbing Permit
NOTE Applicable only if box is checked.. 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: l i tom` _
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
(
City of Eagan
rev 2 23. 2010