1523 Wellington Way - COC4 City of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr opetty Addr ess: IS � A i i n. LFJCi —�
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on — , 2010
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PEREORMED
7 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):
fl City Plumbing Permit
City Approved:
L City Sanitary Sewer Permit
White Copy: Property Owner
City of kk ali
NOTE: Applicable only if box is checked:. ased 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 ote al blockage due to,
G ease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: ( �4. C {� le "
Print name ,Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev. 2 232090