3811 Country Creek Way - COCCity of Eapll
COMPLIANCE WIIH INITIAL INSPECIION
This is to certify that the property listed above has been inspected by authorized City personnel , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n 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):
n Cit Sanitary Sewer Permit 1 I City PIumbing Permit
NOTE: Applicable only if box is checked :1 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, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: \ - L`ct.
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: STS \ CC, ‘..k_bi . k , 6
Signature Date
Yellow Copy: City of Eagan (Parcel File)
41 City of Evan
rev 2 23 2010