868 Great Oaks Tr - COC411 City of Etan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: Lo (-) C IS -tr
COMPLIANCE WITH INITIAL INSPECTION
4 —This is to certify that the property listed above has been inspected by authorized City personnel on , 201 _
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECIIVE 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):
City Sanitary Sewer Permit T City Plumbing Permit
NOTE: Applicable only if box is checked, nBased 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,
City Approved: l sl‘t\ [ C3 V1 ( 1 �t (o �J ! CJ
Date
Print name Signature
Yellow Copy: City of Eagan (Parcel F ile)
4111 City of Evan
rev 2 23 2010