923 Wild Rose Ct - COCCity of Eapil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan,
E Minnesota
Property Address: l -- )-3 `C �_ki Cow/
COMPLIANCE WITH INITIAL INSPECTION
e r Ihis is to certify that the property listed above has been inspected by authorized City personnel on c , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
' This is to certify that the property Iisted 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 PIumbing Permit
NOTE; Applicable only if box is checked; [JBased 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 for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
White Copy: Property Owner
o 4� E l
City Approved: \ - �'�` / Uv— t l z ^�
Print name 3 Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
City of Eat ll
rev. 2 23.2010