4200 Pilot Knob Rd - COCCity of bp
,ap
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ba ( Ley 43z =4 12-a,
COMPLIANCE WIT H INI IIAL INSPEC IION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on Ae 1 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
n Ihis 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 corr ective repair work under (check all that apply):
1
❑ City Sanitary Sewer 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 periodic cleaning or future inspections be performed to minimize a potential blockage due to.:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: ;�
Prin name
White Copy: Property Owner
0 City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
rev 2. 2010