1515 Wellington Way - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of hp
City of Eagan, Minnesota
Property Address: �� `� �2 Li - in.
COMPLIANCE WITH INITIAL INSPECIION
0 _1-his is to certify that the property listed above has been inspected by authorized City personnel on — C , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AP TER CORRECTIVE WORK PERFORMED
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 pi City Plumbing Permit
NOTE:. Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that per iodic 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: - ■ rrw ice' / \g'i-Ai\r's `- - „ f / W ��� j t
Print name Signature Date
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel Pile)
rev 2. 2010