1690 Walnut Ct - COCA City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of EaRan
City of Eagan, Minnesota
Propetty Address: , t O 0 , , \ A }—
COMPLIANCE WITH INITIAL INSPEC TION
{Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201 1
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
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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked; nBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfotmed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved:
Print name
White Copy: Property Owner
/ - -1 h ,
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23 2010