1764 Hickory Hill Dr - COC4 City of Eagaa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Pr operty Address:
City of Eagan, Minnesota
/
L CO /-1( II a i,
COMPLIANCE WITH INIIIAL INSPECTION
k This is to certify that the property listed above has been inspected by authorized City personnel on 2 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORREC FIVE 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 r equired corr ective repair work under (check all that apply):
City Sanitary Sewer Permit I I City Plumbing Permit
NOIE: Applicable only if box is checked:1 '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
White Copy: Property Owner
City Approved: l -� / "_ / ._ / Slea //
Print name Signatur• Date
City of Ea au
Yellow Copy: City of Eagan (Parcel File) rev 2 23.2010