1529 Sherwood Way - COCCity of Sa ar
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 �1 • YI f +(U 3O & C
Yellow Copy: City of Eagan (Parcel File)
City of Eaiall
COMPLIANCE WITH INITIAL INSPEC TION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 201)
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFIER 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: ramp ased on a r eview of the Sewer. Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to m.nimize a p ate til . locka • e due for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other., 'S4 • k ( + ; , E. • —
City Approved: 1 v t li, / ;vr. —�- / Z6 CJ
/ �L f� /J (
Print name u Signature Date
rev 2.23 2010