3475 Golfview Dr - COCCity of Evan
City Approved:�,�
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 34 �( d 1C s 0
COMPLIANCE+ WITH INITIAL INSPECTION
'This is to certify that the property listed above has been inspected by authorized City personnel on D 1 - 1, 201_1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERI +ORMED
fl 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 City Plumbing Permit
NOTE: Applicable only if box is checked:( Based 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
Print name
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
41 City of Eagan
rev 2 23 2090