4632 Fairway Hills Dr - COCCity of Eaiall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eaftaa
City of Eagan, Minnesota (�
Property Address: (03� t� 0. l- -i \. lS 4J'F� v
COMPLIANCE WIIH INITIAL INSPECTION
_T-his is to certify that the property listed above has been inspected by authorized City personnel on L ic a (:1 1, 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
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):
n City Sanitary Sewer Permit 7 City Plumbing Permit
NOTE: Applicable only if box is checked (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 Approved: 1 Vt& / ` -- 4e/ c f /3-0 t ?�
Print name `t Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010