876 Wescott Square - COC41 City of hp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address:
6" We.Scu��
40 City of Eaaall
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on s TS' , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTERCORRECTIVE 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
White Copy: Property Owner
City Plumbing Permit
NOTE: Applicable only if box is checked., I Based 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: � ON i .�� / W .- / /
c U l
Print name Signature Date
Yellow Copy: City of Eagan (Parcel pile)
rev 2 23.2010