3740 South Hills Dr - COCCity of hp
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota (1
Property Address: l '4 0 So k..1-4 L Y Y� k S �J
COMPLIANCE WITH INITIAL INSPEC TION
his is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in cornpliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AP TER 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 C City Plumbing Permit
NOTE, Applicable only if box is checked: UBased 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: T CL u- A- l t ,tj / L 2 f a-U ! b
Date
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eapll
E-{ 201
rev 2. 23 2010