1865 Deer Hills Tr - COC411 City of EaRaIl
1 1
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: c)-e' 1'j f
COMPLIANCE WITH INITIAL INSPECTION ll
F --This is to certify that the property listed above has been inspected by authorized City personnel on �' W - 1 , 201 t
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORREC'IIVEWORK PERFORMED
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 [ City Plumbing Permit
NOTE: Applicable only if box is checked: QBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:•
City Approved:
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Etall
rev 2 23.2010