3846 Palisade Way - COCCity of EapIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan
City of Eagan, Minnesota
Property Address: 3 c i (
COMPLIANCE WITH INITIAL INSPECTION
_This is to certify that the property listed above has been inspected by authorized City personnel on J �� 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked; 1 Based on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning or future inspections be per�ormed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other•.
City Approved:
Y A — et
Print name
White Copy: Property Owner
Yellow Copy: City of Fagan (Parcel File)
rev 2 23 2010