1616 Summit Hill - COC4 City of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: k [ 6 5 u lops? , f b //
COMPLIANCE WITH INITIAL INSPECTION
gi This is to certify that the property listed above has been inspected by authorized City personnel on 46 / 24 , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired
COMPLIANCE AF TER 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):
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 be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eapp
rev. 2 23.2010