3842 Country Creek Way - COCCity of hp
City of Ea Rap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: J � V� Ln C2Ce` - f L WCA-f
COMPLIANCE WITH INITIAL INSPECTION
4 -This is to certify that the property listed above has been inspected by authorized City personnel on - 1 L , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERT ORMED
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 requited corrective repair work under (check all that apply ):
n City Sanitary Sewer Permit ❑ City Plumbing Permit
NOTE ;r Applicable only if box is checked: -ased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning or future inspections beperfo med to minimize a potential blockage due tot
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other ,t1 _ - ) -S �.
E`y'al 441' ( ,. 0 . - '3 ' r Cr ` • S . ivy,-
City Approved: i vL. cu --. / Vvi— - / L Vi l //
rb [ f
.Print name
White Copy: Property Owner
Signature Date
Yellow Copy: • City of Eagan (Parcel File) rev. 2 23 2010