1785 Gold Ct - COCCity orEaRan
City Approved: '7 i ✓A_
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Sanitary Sewer Permit 1 City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
Signature Date
City of hp
City of'Eagan, Minnesota
Property Address: G C) c Co
COMPLIANCE WIT H INITIAL INSPEC HON
4 -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
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 requited collective repair work under (check all that apply):
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 beperformed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
rev 2. 2010