1943 Timber Wolf Tr S - COCCity of kan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, � Minnesota
' , 1
Property Address: 1 C i L+3 1 - 1 YAn,O' . v WOI T1- s
COMPLIANCE WIIH INITIAL INSPECTION
'This 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 corrective work was required
Yellow Copy: City of Eagan (Parcel F ile)
4 City of Evan
,201/
COMPLIANCE AFTER 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
NOTE: Applicable only if box is checked.: jBased on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic cleaning or future inspections be performed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved: vA.`. V-
/ t -]j / L/ J 11
Print name Signature Date
rev 2.23.2010