1613 Summit Hill - COC4 City of hp
City Approved: A
G3 77' (
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE fax
INFLOW & INFILTRATION
City of Eagan, Minnesota )]
Property Address: Vo 13 S rnrnl 1 Hi
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 0 6 r/l , 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
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):
0 City Sanitary Sewer Permit City Plumbing Permit
NOTE: Applicable only if box is checked: 1 jBased 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 u potential blockage due to :.
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Yellow Copy: City of Eagan (Parcel File)
I - 5
Date
City of Eapl
/1
rev. 2 23.2010