1700 Brant Cir - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
[ 7OD / ram C "c)e
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on 6/ / , 201J
and found to be in compliance with Section 3.40 of the City Code and no corr ective work 'was required
COMPLIANCE AF TER CORREC TIVE 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 requited corrective repair work under (check all that apply):
n City Sanitary Sewer Permit 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: ... E 774 4
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
11 City of Eagan
7
1/
rev 2 23 2090