4852 Wellington Ct - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: k vU--0 (. [i
COMPLIANCE WIIH INITIAL INSPEC ZION
—Thin to certify that the property listed above has been inspected by authorized City personnel on D
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
City of kali
,201 (..)
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):
City Sanitary Sewer Permit [n City Plumbing Permit
NOTE: Applicable only if bo.x is checked:. used on a review of the Sewer Service video inspection /report on, file, it is
recommended that periodic cleaning or future inspections be performed to mi inti e a potential blockage due to:
Grease Build-up, oot Intrusion Dip/Settlement Pipe, in Pe, Other „. SC -L , r i� - 'v
p� P P } )t`� I� (.3 ;i
City Approved: s v� 1 L?,. t,S, 1 �
u Signature
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010
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