1866 Deer Hills Tr - COCCity of
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of bpi
City of Fagan, Minnesota
Property Address: L l
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on LL , 200
and found to be in compliance with Section 3 40 of the City Code and no corrective work was requited
COMPLIANCE AFTER CORREC TIVE WORK PERFORMED
n Ibis 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 City Plumbing Permit
White Copy: Property Owner
City Approved:T 1 V1/4/L t,.4 - e — /
Print name
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:
t, /
Signature bate
Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010