1945 Timber Wolf Tr N - COC4, City of Eapo
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Evan
City of Eagan, Minnesota i 1
'Property Address: j -' ti W� € '� W6 t
COMPLIANCE WI I II INI IIAL INSPEC ZION
'""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 corr ective work was required.
COMPLLANCE AF IER CORREC IIVE WORK PEItF ORMED
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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: 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 for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: \ Ysr`
Print name
White Copy: Property Owner
\ IC-6 I C ''/3 t46 r 1
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010