1735 Hickory Hill Dr - COC41 , 1/ `' City of Eton
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 ( 1-0 y l 7 t 11 016
COMPLIANCE WITH INITIAL INSPECTION
199 his is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3.40 of the City Code and no con ective work was required
COMPLIANCE AF TER CORREC TIVE 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):
fl City Sanitary Sewer Permit fl City Plumbing Permit
NOM: Applicable only if box is checked :ased on a review of the Sewer Service video inspection /report on file, it is
recommended that , ing or future inspections be performed to minimize a potential blockage due to:
Gr se Build -u, Root Intrusion, Dip /Settlement in Pipe, Others s"
- QLil e ` l� , _ I ` f OS s i LQ v z C c-C �)
City Approved: CIAA-
ti AL
Print name
White Copy: Property Owner
\-
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Epp
,2011
rev 2.23 2010