3691 Windtree Dr - COCCity of hp
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of Eaftaa
City of Eagan, Minnesota
Property Address: �� � �Y ems Y a \(
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on , 201 0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORREC I'VE 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 City Plumbing Permit
NOTE: Applicable only if box is checked. ased on a review of the Sewer Service video inspection /report on file, it is
recommended that perm ' ing or future inspections be performed to minimize a potential blockage due to:
Grease Build -u;, ' oot intrusion ► p /Settlement in Pipe, Other: 16
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City Approved: i � / � / l �l "� �y i 6
Print name Signature Date
rev. 2 23.2010