3709 Windtree Dr - COC4 City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pt oper ty Addt ess: l (? i i
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City personnel on O — t C k, 201 [)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE At TER CORRECTIVE WORK PERIORMED
This is to certify that the property listed above bas 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 Sanitary Sewer Permit I 1 City Plumbing Permit
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
City of Eaftal
NOTE: Applicable only if box is checkesed 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 p tentia blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
1 '�t ( Q C - oi%
City Approved: v V\
Signature Date
rev 2.23 2010