1721 Monticello Ave - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota - ( (�
Property Address: 11' \ 01\0 tom. - i
COMPLIANCE WITH INIIIAL INSPECTION
V1 --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 required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n This is to certify that the property fisted 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):
City Sanitary Sewer Permit City Plumbing Permit
NOTE Applicable only if box is checked:1 !Rased 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:
White Copy: Property Owner
City Approved: ■ 'vv. 1 t;,' /
Print name
Signature Date
City of bp
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010