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3821 Country Creek Way - COC4 City of Eagan City Approved: White Copy: Property Owner SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION City of Eagan, Minnesota n t Property Address: 3 -k X City of hp COMPLIANCE WITH INITIAL INSPECIION 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 n 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 n City Plumbing Permit NOTE: Applicable only if bo.x is checked: UBased 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: Print name u Signature Date Yellow Copy: City of Eagan (Parcel File) rev. 2 23 2010