1744 Hickory Hill Dr - COCCity of fla
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan,
tt Minnesota
Proper ty Address: y 3'�
y
M `
COMPLIANCE WITH INITIAL INSPECTION
0 This is to certify that the property listed above has been inspected by authorized City personnel on 3 , 2011_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
I 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
NOTE: Applicable only if box is checked: rrsed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfo ed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other 30=S
City Approved:
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
11 City or Eagan
rev 2 23.2010