1980 Timber Wolf Tr S - COCCity of k ali
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ISO rr rn ber tdo l T 5
COMPLIANCE WITH IN/11AL INSPECTION
I . Ihis is to certify that the property listed above has been inspected by authorized City personnel on 06 � ZZ , 2011
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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 n City Plumbing Permit
NOTE: Applicable only if ' box is checked; fBcrsed 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.:
Signature - 0 ` Date
Yellow Copy: City of Eagan (Parcel F ile)
41 City of Evan
rev. 2 23 2010