3651 Windtree Ct - COC40. City of Evan
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
Cow f
COMPLIANCE WIT H INITIAL INSPECTION
4A r Zhis is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired
COMPLIANCE AI IER CORREC IIVE WORK PERFORMED
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 City Plumbing Permit
NOTE: Applicable only if box is checked: (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: / 4 v - U t- 1 / f (
Print name Signature
Yellow Copy: City of Eagan (Parcel File)
Date
4lik City of Eagan
t ,201 0
rev 2 23 2010