4300 Eagle Crest Dr - COC4 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: Y500 10-1
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 5 3 ( , 201
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):
F City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked, [J.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:
City Approved: _
Print name r Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
Date
City of all
rev 2 23 2010