674 Brentwood Lane - COCCity of Ewan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of' Eagan, Minnesota
Property Address: Ce.. )Y-en�(0{YL'°�
COMPLIANCE WIIH INITIAL INSPECTION
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This is to certify that the property listed above has been inspected by authorized City personnel on , 201_C)
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
fl 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 City Plumbing Permit
41 City of Eagan
City Approved: / �. SC�� � / I 6 3 i )'10 1
Print name Signature Date
NOTE: Applicable only if box is checked: ased 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 potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010