3645 Windtree Dr - COCCity of bpi
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: (-k 5 LV; v et_ j - (1,
COMPLIANCE WITH INIIIAL INSPECITON
"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 corr ective work was required
COMPLIANCE AF ER 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
White Copy: Property Owner
City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
City of Eaaall
NOTE: Applicable only if box is checked: 1 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: ■ VW \ \ O � / JL ( / i 0 (D /6
Print nam a ,Signature Date
rev 2 23 2010