3871 Palisade Way - COCCity of Evan
City of EaRail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota j(,���
Property Address: 3'87 I Po, I iS e W
COMPLIANCE WIIH INITIAL INSPECTION
-› This is to certify that the property listed above has been inspected by authorized City personnel on 3/3 0 , 201 /
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
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):
fl 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
recommender) 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: J
Print name r Signature` / Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010