1782 Silver Bell Rd - COCCity of Eagan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address. ,1 c ra S
City Approved: ��v� �� LL / � I — s /
Print name UU Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of ERft I
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 3 , 201 j
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECIIVE 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 required corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE 7 Applicable only if box is checked: eased on a review of the Sewer Service video inspection /report on file, it is
recommended that perfodie-e ing or future inspections be performed to minimize a potential blockage due to:
Grease Build --up, oo Intrusion, )ip /Settlement in Pipe, Other: L t
rev 2 23 2010