1938 Timber Wolf Tr N - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 !! * City of Eapll
City of Eagan, Minnesota
Pt operty Address: 193$ 14E li (ijC(. Till . ski
COMPLIANCE WITH INITIAL INSPECTION
Nd This is to certify that the property listed above has been inspected by authorized City personnel on � , 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
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):
City Sanitary Sewer Permit n City Plumbing Permit
NOTE, Applicable only if box is checked: UBased 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: 1, ( 1-6
Print name
White Copy: Property Owner
r te. 7/u f
Signatur ' Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2010