1874 Gold Tr - COC4 , 16 ' City of EapIl
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 17S C -c
COMPLIANCE WITH INITIAL INSPECTION
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 AFIER CORRECTIVE WORK PERFORMED
7 Ihis 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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked,ased on a review of the Sewer Service video inspection /report an file, it is
recommended that periodic cleaning or future inspections be performed to minimize a po n bloc age due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: k{, tOh Y �aS
erp
Signature
t
Yellow Copy: City of Eagan (Parcel File)
Date
A lb. City of Evan
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rev. 2.23 2010