1978 Timber Wolf Tr S - COCCity of Egli
COMPLIANCE WITH INITIAL INSPEC TION
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota }
Property Addr ess: � 1 i WJ0 Q \ I ,5
11 City of EataIl
Ihis is to certify that the property listed above has been inspected by authorized City personnel on ° g— 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PEREORMED
n 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):
1
City Sanitary Sewer Permit
NOTE: Applicable only if box is checked: 1 'Based on a r 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 Intrusion, Dip /Settlement in Pipe, Others
City Approved:
Print name
White Copy: Property Owner
Li City Plurnbing Permit
L - t / /wipe 1
Signature
Yellow Copy: City of Eagan (Patel F ile)
Date
rev 2 23 2010