1716 Walnut Cir - COCCity of Ea pli
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of hp
City of Eagan, Minnesota (�
Property Addr r L ' x\A L C i l
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on I v , 201_
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AF 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):
n City Sanitary Sewer Permit n 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 future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root intrusion, Dip /Settlement in Pipe, Other:
City Approved:
Print V
White Copy: Property Owner
"ALO?D-es if
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2 23 2010