1482 Wellington Way - COCCity of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, / Minnesot � a tp
Property Address: !`12 rag ) A ['11ai)
COMPLIANCE WIT IT INITIAL INSPECTION J
M This is to certify that the property listed above has been inspected by authorized City personnel on td `3
City of Eapll
,201
and found to be in compliance with. Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AP TER 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 corr ective repair wor under (check all that apply):
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: J f vn Uf,
Print name
n City Sanitary Sewer Permit I 1 City Plumbing Permit
White Copy: Property Owner
1 6 A--
Signature
Yellow Copy: City of Eagan (P arcel File)
' 7MIO 10
Date
rev 2.23 2010