1504 Pinetree Pass - COC411 City of EagaIl
City of Eagan, Minnesota
Property Address: ,f5rti i 5
COMPLIANCE WITH INIIIAL INSPEC IION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
This is to certify that the property listed above has been inspected by authorized City personnel on (�ov . 24 , 201V
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AP T ER CORRECTIVE WORK PERFORMED
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 corrective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOT,: 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 a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: Jgitt
Print name
White Copy: Property Owner
Tx/
Signature
Yellow Copy: City of Eagan (Parcel File)
/r I
Date
City of Ea all
rev 2 23 2010