1936 Timber Wolf Tr S - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1Q J (o `�\ W�- V� 1A)
COMPLIANCE WITH INITIAL INSPECTION
71 is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corr ective wok was required.
COMPLIANCE AFTER CORRECIIVE WORK 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 collective repair work under (check all that apply):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE Applicable only if box is checked :: 'Based on a ► eview 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 Intl usion, Dip /Settlementin Pipe, Other:
City Approved: VA (4ektjk .
Print name
White Copy: Property Owner
4 City of EaRall
Signature Date
,201(
Yellow Copy: City of Eagan {Parcel F ile) rev 2 . 2.3 2010