4765 Eriks Blvd - COC41 City of Earl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INF.ILTRATION
City of EaRail
City of Eagan, Minnesota
Propet ty Address: 1 1 7 1 (p C it \( S ep
COMPLIANCE WITH INITIAL INSPECTION
J Ihis is to certify that the property listed above has been inspected by authorized City personnel on C) f r) 201_6
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
11
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 E City Plumbing Permit
NOTE: Applicable only if box is checked: I IBased 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:
White Copy: Property Owner
Print name
Signature
1
Date
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010