707 Brentwood Lane - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan,
i I Minnesota
�
Nap erty Address: Yr'i1rck — WO(C OE i 1
COMPLIANCE WITH INITIAL INSPECTION
is is to certify that the property listed above has been inspected by authorized City personnel on , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work o as required
COMPLIANCE AFIER 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 :I 1Based 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
----VVet,;
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
City ofEaRau
rev 2.