1781 Gold Ct - COC1 City of Eapfl
City Approved: \ v \L 1
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: S C.L. Co
COMPLIANCE WITH INITIAL INSPECTION
il his is to certify that the property listed above has been inspected by authorized City personnel on , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
n This is to cettify 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 City Plumbing Permit
NOTE:. Applicable only if box is checkedfP9Bizsed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperforred to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip/Settlement in Pipe, Other: MO - 10,4 -5 C �
I 3 61D-6
Signature Date
Yellow Copy: City of Fagan (Parcel File)
City of Emil
rev 2 23.2010