1741 Deerwood Dr - COC4 City of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ek on
City of Eagan, Minnesota
Property Address: 1 4 1 1 -e 6..coo r, 1 \ v
COMPLIANCE WITH INITIAL INSPECIION
is is to certify that the property listed above has been inspected by authorized City personnel on 3 - , 201i
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 Iisted 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 n City PIumbing Permit
NOTE: Applicable only if box is checked jased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or . future inspections be performed to mini ize,fi potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: � (1(\_,9,, g 6 j - ' , --fl -( P CC
"1 k ) Sat 19,1 641e. e. c :i-r c ,,, - 4 L - Li. L q-
n, !
City Approved: i tM :6L1 / \ /1n - 1 1 / ` /- g- - ' !/
v
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2010