1369 Interlachen Dr - COCCity of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Sanitary Sewer Permit City Plumbing Permit
City of Eaaaa
City of Eagan, Minnesota
Property Address: '3 L \:�-E'v l C_C_ k f V\ O t v
COMPLIANCE WIIH INIIIAL INSPEC ZION
his is to certify that the property listed above has been inspected by authorized City personnel on 4 ._ , 201. O
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE 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):
NOTE: Applicable only if box is checked.: I IBased 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 v
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2.23.2090