1776 Turquoise Tr - COC411 !* City of EQ all
1
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of Eapn
City of Eagan, Minnesota
Property Address: i .t -1 lc
P Y
COMPLIANCE WIIH INITIAL INSPECTION
n This is to certify that the property listed above has been inspected by authorized City personnel on -� , 201_l
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
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 n City Plumbing Permit
NOTE: Applicable only if box is checked: JBased on a review of •the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be pevf ied to minimize a potential blockage due to.:
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other., C °C\\ x - ( -4:S Ft
Cu c
City Approved: I \M. �\ f '\ �, / 3 /ja a()
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2,23.2010