2083 Opal Dr - COCCity of East'
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 'FS' - J
COMPLIANCE WITH INITIAL INSPEC TION
L This is to certify that the property listed above has been inspected by authorized City personnel on , 201 CD
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF 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 corrective repair work under (check all that apply):
City Sanitary Sewer Permit n 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: -
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
/a 1 -orb
Date
City of Ea al
rev. 2 23 2010