815 Trails End Rd - COCCity of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
4 City of Eapn
City of Eagan, Miirnesota
Property Address: c8 1 V l S E EC C
COMPLIANCE WIIH INITIAL INSPECTION
1
g Ihis 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 IER CORREC IIVE WORK PERFORMED
n 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 n City Plumbing Permit
NOTE: Applicable only if box is checked; 'Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
/
City Approved: L vtt ��`� ��. I vv� �' �1 L� I `� i C� I c )
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel I lie)
rev 2 2.3 2010