3717 South Hills Lane - COCCity of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota 1 q
Property Address: 3� 1'1
COMPLIANCE WITH INITIAL INSPECTION
.This is to certify that the property listed above has been inspected by authorized City personnel on �'� 1 ( , 201 O
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AF TER CORRECIIVE WORK PERFORMED
I
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):
White Copy: Property Owner
n City Sanitary Sewer Permit City Plumbing Permit
City of kali
NOTE: Applicable only if box is checked: I lBased 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 apotential blockage due to
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: �NL t t i� /vr � l I -D--0 ib
Print nam e Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23.2010