1306 St Andrew Blvd - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eap
City of Eagan, Minnesota
Property Address: 1`60 (4 SS - iS 'v
COMPLIANCE WITII INITIAL INSPECTION
.- p is to certify that the property listed above has been inspected by authorized City personnel on ''° l J 1 , 2010
and found to be in compliance with Section 3 40 of the City Code and no corr ective 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):
n City Sanitary Sewer Permit
White Copy: Property Owner
NOTE a 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 Plumbing Permit
City Approved: /
Print name V Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2.23.