3930 Turquoise Pt - COC1 , 11 ''' City of Evan
City Sanitary Sewer Permit City Plumbing Permit
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
"a i
Signature Date
Yellow Copy: City of Eagan (Parcel File)
41 City of EtaIl
City of Eagan, Minnesota
Ptopetty Addiess: 1 3 ) \O(
COMPLIANCE WIIII INITIAL INSPECIION
1-1" 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 AF IER CORRECIIVE WORK PERFORMED
fl 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):
NOM: 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 mi nimize a pgten{iql blockage due to:
Q or.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
P-
rev 2.23 2010