3877 Palisade Way - COCl City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
3�s Po..t i c'ALL
COMPLIANCE WITII INITIAL INSPECTION
rirThis is to certify that the property listed above has been inspected by authorized City personnel on �• >6 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFIER CORRECTIVE WORK PERFORMED
n 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):
City Sanitary Sewer Permit n City Plumbing Permit
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F lie)
41 City of Evan
NOTE: Applicable only if box is checked :I used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodie- cleaning or future inspections be performed to minimize a potential blockage due to,
Grease Build -up, oot In �u ip /Settlement in Pipe, Other„ - `frk vv` C5 5 I
City Approved: ' '"r .
Print name Signature Date
rev, 2 2.3 2010