3865 Palisade Pt - COCCity of 'la ap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
COMPLIANCE WITH INITIAL INSPECTION
E his 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 AF IER 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):
City Approved: Irv`'
Print name
White Copy: Property Owner
City Sanitary Sewer Permit I City Plumbing Permit
NOTE: Applicable only if box is checked., IBased 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.
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
4 City of Eapll
rev 2 23 2010