1504 Pinetree Tr - COCCity of Eatall
White Copy: Property Owner
SANITARY SEWER. SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 0 421 r2.
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on OZ- , 201 °
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AID IER 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 }:
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE, Applicable only if box is checked: I ]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: jk / ^— `
Signature
Print name
Yellow Copy: City of Eagan (Parcel F ile)
Date
41 , 4 ‘ City of EtaIl
7
rev, 2 23 2010