1769 Hickory Hill Dr - COCilty of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eaya
City of Eagan, , Minnesota i
Property Address: V 1 (vs �' 3 k L(�'rr 1, 0 v
COMPLIANCE WITH INITIAL INSPECTION
! his is to certify that the property listed above has been inspected by authorized City personnel on `j .- , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF IER CORREC IIVE WORK PERFORMED
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 City Plumbing Permit
NOTE Applicable only if box is checked „rBassed on a review of the Sewer Service video inspectioJ /r eport on file, it is
recornmeaded that periodic cleaning or future inspections be performed to minimize ap tential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other; L - 4 L) '(4-L -
City Approved: W V
Print name
White Copy: Property Owner
Signature
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Date
Yellow Copy City of Eagan (Parcel File) rev 2 23.2010