870 Great Oaks Tr - COC41 City of kali
City Approved: v l VV\ \ 1 c:, lAAYut
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
s"-I0 c yet
COMPLIANCE WITH INITIAL INSPEC LION
` This is to certify that the property listed above has been inspected by authorized City personnel on , 201 0
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
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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked: 1 1Based 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:
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Eapil
Date
rev 2 23 2010