1767 Hickory Hill Dr - COC4 4 1 , 1 ! City of Eapll
1 1
City Approved:
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota / -,
Proper Address: 1 r 7 //I jj; /J
COMPLIANCE WITH INITIAL INSPECTION f29 2015
This 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 con ective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
U 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):
City Sanitary Sewer Permit 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 to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: C +� l
Print name
White Copy: Property Owner
City of Eapll
Yellow Copy: City ot Eagan (Parcel F ile)
57‘1/iL__
Date
rev 2 23. 2010