1838 Gold Tr - COCCity of 1apail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ) 3 CsDO
COMPLIANCE WIIH INITIAL INSPECTION
71 is to certify that the property listed above has been inspected by authorized City personnel on ` 3 , 201_1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
n City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checkedr BQsed on a review of the Sewer Service video inspection/report on file, it is
recommended that periodic cleaning or future inspections be performed to minimie a p tential blo kage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.' i 1 1 CC ° -
City Approved:
Print name
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eapll
Signature Date
rev 2. 3 2010