1849 Deer Hills Tr - COCCity of Egli
City Approved: vv..
Print name
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
'a
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of Eaall
City of Eagan, Minnesota
Pr operty Address: } s C j
COMPLIANCE WIIH INITIAL INSPECTION
'{11 This is to certify that the property listed above has been inspected by authorized City personnel on ' "" �° 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
fl 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):
P1 City Sanitary Sewer Permit f I City Plumbing Permit
NOTE: Applicable only if box is checked: 1 I 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 a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
rev. 2 23 2010