1741 Hickory Hill - COCCity of Eagan
NOTE Applicable only if box is checked. ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed t minimize a p to • l blo kage due to;
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: 1 �. � �� 0 it
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Addi ess: L k \ tkQ �-
COMPLIANCE WITH INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on 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
C 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 required corrective repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
City Approved: �l �C� �. `�� /1 �� i c
Print name Date
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
4 1/. City of hp
rev 2 23. 2010