3863 Palisade Pt - COC1
City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: u`" 3 5cLaLk.
411 City of Eagan
COMPLIANCE WITH INITIAL INSPECTION
F - This is to certify that the property listed above has been inspected by authorized City personnel on 1 0 , 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
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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE:: Applicable only if box is checked -- -Based on a review of the Sewer Servace video inspection /report on file, it is
recommended that periodic cleaning or. (attire inspections be performed to minimize a pot .nti 1 lockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
wt I �� - -
City Approved: k ti_ � � ��� ( �,., ' �--.'
Print name Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
rev. 2 23 2010