1765 Hickory Hill Dr - COCCity of Email
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eaaall
City of Eagan, Minnesota
Property Address: 1 Lt
COMPLIANCE WITH INITIAL INSPECTION
is is to certify that the property listed above has been inspected by authorized City personnel on S, 201 i<
and found to be in compliance with Section 3.40 of the City Code and no corrective work was xequired
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
11
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
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 corr ective repair work under (check all that apply):
City Sanitary Sewer Permit 0 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 iodic cleaning or future inspections be perform e d1m nimize a potential blockage due to:
Grease Build -up, ootIntWusior�j Dip /Settlement in Pipe, Other::
City Approved: V Vv\ \ LI,g 1 l t°7/ L11`f ; l 1
Print name Signature Date
rev 2 23 2010