1766 Silver Bell Rd - COC4 11j° City of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 111k City of Baran
City of Eagan, Minnesota
Property Address: � (C V'c u' () '
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on L i ` , 201 i
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERIORMED
n 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 R epair work under (check all that apply):
I
City Sanitary Sewer Permit
n City Plumbing Permit
NOTE Applicable only if box• is checked: nBased 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::
City Approved:
1 1(1ti- yL l l`
Print name
White Copy: Property Owner
/ X73 3
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2090