1788 Silver Bell Cir - COC40 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 7 g'S U
City of Evan
COMPLIANCE WITH INITIAL INSPECTION
l is is to certify that the property listed above has been inspected by authorized City personnel on d
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
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 City Plumbing Permit
,201 1
NOTE: 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, Root Intrusion, Dip /Settlement in Pipe, Other.
City Approved: A �N�_ /
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Signature
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2090