1758 Hickory Hill Dr - COCCity of E fill
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
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Property Address: `a rat t� \AA \ k) ° v £�
COMPLIANCE WITH INITIAL INSPEC IION
Ft' This 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 AI IER CORRECTIVE WORK PERFORMED
n 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):
City Approved: J t ti VC_ `.
Print name
White Copy: Property Owner
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 • f sture inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Signature Date
City of E agan
Yellow Copy: City of Eagan (Parcel File) rev 223.2010