3829 Denmark Ave - COC41 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 , 11 ' City of Evan
City of �J Eagan, .1.� , Minnesota G11�
Property Address: 3E 'AJ ` `J - Ave
COMPLIANCE WITII INITIAL INSPECTION
X This is to certify that the property listed above has been inspected by authorized City personnel on 17 i 1 ti , 201g..,
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required. 11i
COMPLIANCE AFTER CORRECTIVE 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 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: 1 (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:
Print name
White Copy: Property Owner
I &
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev. 2.23.2010