1893 Gold Tr - COCCity of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 S.9 (..c.A8 Y 0
COMPLIANCE WI I H INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on a - , 201_
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AF TER CORRECILYE WORK PERFORMED
n 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):
n City Sanitary Sewer Permit
White Copy: Property Owner
City Plumbing Permit
NOTE: Applicable only if bo.x 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 blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other �'Y1'1 i ;�, 1 (�:� 1(J 6 .U3 - l Pc'SS t I
City of Eapll
City Approved: ■ vv. L / , d:�. 1 f c� ar') 1
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.232090