1770 Turquoise Tr - COCCity of Eapll
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
Print name
City of Eagan, Minnesota
c i
COMPLIANCE WITIEI INITIAL INSPECTION
1: This 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 corr ective work was required
COMPLIANCE AFTER CORRECIIVE 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 City Sanitary Sewer Pennit I I City Plumbing Permit
4 City of Evan
NOTE: Applicable only if box is checkedjBased on a review of the Sewer Service video inspection report on file, it is
recommended that periodic cleaning or future inspections be peafor ed to minimize a potential blockage due to.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.: V i L C.4(
City Approved: L�c i .. � e / 3 3 /
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010