3490 Wolfberry Ct - COC11 City of EapIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 0 WO 1 c--10 � {( t Y
COMPLIANCE WITH INITIAL INSPECTION
This 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 AF TER CORRECTIVE WORK PERFORMED
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):
7 City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked. Uased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to m nimie a pote } tial blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Others ' (1 / P-....1....,0-1. ( J LJk 4rk " S C L
(.3
++
City Approved: 1 kiVN,
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Capp
Pt
rev 2 23 2010