1617 Sherwood Way - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fot
INFLOW & INFILTRATION
City ofkai
City of Eagan, Minnesota
Property Address: (� ( er d ) ) 6 — C j
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on , 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
Ihis 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 J[City Numbing 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 /Settleriient in Pipe, Other:
t
City Approved:f ',)i- l / / \ Z, Y' / l �
Print name --" Signature Date I
rev 2 23 2010
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)