1786 Gold Ct - COCCity of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ear
City of Eagan, Minnesota
Propel ty Addt ess: \ 1 L (1;0 C_Cā \ā
COMPLIANCE WHIT INITIAL INSPECTION
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 corrective work was r equired.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
it
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 till that apply):
n City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE: Applicable only if box is checked: - }Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodie.cleaning or future inspections be performed to minimize a potential blockage due to.:
Grfase Build --up, RQ Intrusions Dip /Settlement in Pipe, Other: Cd5 et
City Approved:
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.2.3 2090