4638 Summit Pass - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eqpt
City of Eagan, Minnesota
Property Address: Skv1n11Vii Piss
COMPLIANCE WI III INI TIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on 4 'mi , 201_O
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF 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 n City Plumbing Permit
NOTE; Applicable only if box is checked: I 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: T k veL 1.3Lt..s3A
Print name
White Copy: Property Owner
° t om Iz6 / L/ /'D a t c
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2,232010