820 Great Oaks Lane - COCCity of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eqpt
City of Eagan, Minnesota
Property Address: S 0 (� 0GAS CA_ V -Q_
COMPLIANCE WIIH INITIAL INSPEC ZION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201 a
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECTIVE WORK PERFORMED
n Ihis 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 per 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:
Print name
White Copy: Property Owner
\.-kuJ44-6
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010