1482 Pinetree Tr - COC1 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr operty Address: / /#j it1 7 L-
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on lass., Z3 , 201c
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
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 r equired corrective repair work under (check all that apply):
n City Plumbing Permit
1 City Sanitary Sewer Permit
NOTE: Applicable only if box is checked, UBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning OF future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: L
White Copy: Property Owner
Print name
Sigifatu
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
51a-/11
Date
rev 2.232010