1700 Deerwood Dr - COC4 City of Eapll
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1., 0 0 fl-et - e 0 & 0v' t V-e
COMPLLANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on J- k , 201_ i
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
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):
p 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 on file, it is
recommended that periodic-cleaning or future inspections be performed to minimize a potential blockage due to:
Grease.„Build -up, trusiop /Settlement in Pipe, Other:
.S 1
City Approved: t\/vL `ICJ- L. / � t fL a — C I ' 1 ( D _
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010
City of Eaftall