1750 Hickory Hill Dr - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota `
Property Address: !. 'ViC \(--0 4 Ori 1� --
COMPLIANCE WITH INITIAL INSPECTION
!"Phis is to certify that the property listed above has been inspected by authorized City personnel on VD
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECIIVE 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
White Copy: Property Owner
City of Eau
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: V\A � � / 1( / ("'/
1Y/D6 le
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev, 2 23 2010