3771 South Hills Dr - COCCity of _aR.8.ft
City Approved: -23 -
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Yellow Copy: City of Eagan (Parcel File)
City of Evan
City of Eagan, Minnesota
Property Address: J� C y � \-\-‘ 1 \i
COMPLIANCE WITII INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on (2 201 a
and found to be in compliance with Section 3.40 ofthe City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
7 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):
n City Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked:1 Based on a r eview 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.:
Signature Date
rev 2 23.2010