3845 Palisade Way - COC4,0F City of Eagan
COMPLIANCE WITH INIIIAL INSPECTION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 3
1 =1- - Ihis 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 AFIER CORRECTIVE WORK PERFORMED
4 City of Eagan
I 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):
pi City Sanitary Sewer Permit E 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 periodic cleaning or future inspections be performed to minimize a potential blockage due to;
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: ti Vim. C i
Print name
White Copy: Property Owner
) I f
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23 2010