4291 Eagle Crest Dr - COCCity of Ek on
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
a !\/\r' 9 t) I r? / l j
Signature
City of Eagan, Minnesota {�
Property Address: �� c� f Cf-cS+ ]Jv ■ J -�
COMPLIANCE WITH INITIAL INSPEC TION
E ' Ihis is to certify that the property listed above has been inspected by authorized City personnel on - , 201_1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
H 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):
Fl City Sanitary Sewer Permit n City Plumbing Permit
Date
NOTE: Applicable only if box is checked nBased 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:
Yellow Copy: City of Eagan (Parcel File)
41 City of 8apn
rev. 2 23 2010