1501 Pinetree Pass - COC4 /1* City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: (50 V fN'
COMPLIANCE WIIH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on "UV • 22 , 2010
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORREC IIVE WORK PERF ORMEI)
I 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):
1
City Approved:
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 a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
off./
Print name Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
ate
City of Eapll
rev 2. 2010