1760 Hickory Hill Dr - COCCity of Eakall
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
/ 71 tdCar /-� � t7A
COMPLIANCE WITH INIIIAL INSPECTION
Property Address:
This is to certify that the property listed above has been inspected by authorized City personnel on /�2/ , 201_1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER 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 corr ective 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 beperfotmed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
177/
Print name
i�
Signature
Yellow Copy: City of Eagan (Parcel File)
4 City of Eagan
I 4 /I/
Date
rev 2 23.2010