852 Great Oaks Tr - COCCity of Ea ll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota y, -}-
Pt apex ty Address: �- Cr Cs-i 0 GA 1 if On-i 1.
COMPLIANCE WIT H INITIAL INSPECTION
his is to certify that the property listed above has been inspected by authorized City personnel on , 201C
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
n 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):
City Sanitary Sewer Permit ❑ City Plumbing Permit
NOTE: Applicable only if box is checked. sed 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 potert Lockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other, C+ -} 6 K
City Approved: yv` - /
Print name Signature
White Copy: Property Owner
( e ll ' City of hp
A �
I i/ Df
Date
Yellow Copy: City of Eagan (Parcel File) rev. 2 23 2010