1862 Gold Tr - COCCity of
COMPLIANCE WITH INITIAL INSPECTION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: '-
7A is to certify that the property listed above has been inspected by authorized City personnel on l 20
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
n This is to certify that the property listed above has been found to be i 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
NOME 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 be performed to minimize a potential blockage due to,
Grease Build -up, ootlntrusi 'p /xSettlement in Pipe, Other :
City Approved:
White Copy: Property Owner
w� ,L L
Print name
Signature Date
Yellow Copy: City of Eagan (Parcel File)
411 City of Eagan
a
rev. 2 23.2010