4391 Woodgate Lane N - COCCity of E all
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 13 i ttio �� r�
COMPLIANCE WIIII INITIAL IN SPEC ZION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 0 /Z , 2011
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
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 r equired corr ective repair work under (check all that apply):
City Sanitary Sewer Permit I 1 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
City Approved: dit/t{EM #74 7
7
Print name Signa ure -' Date
4 , 1 ' . City of Eapil
Yellow Copy: City of Eagan (Parcel File) rev 2 23 2010