3478 Trails End Rd - COC4 11 P I/P. City of Epp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of EapIl
City of Eagan, Minnesota
Property Address: 0_0
COMPLIANCE WITH INITIAL INSPECTION
Ihis 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 AF I ER CORRECTIVE WORK PERF ORMED
7 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):
fl City Sanitary Sewer Permit 7 City Plumbing Permit
NOTE.: Applicable only if box is checked: used on a r eview 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: ®C) ( iA C � ( 1; �� � 1
la (0 r L } �t , t, PV 8 s C S Ct-- 9 Pi--- i O t f 1 p' i. �- t t t cP4-
City A pproved: ` ' l Vv, 1 i3 -1.a 1 1, / 'ill L&- /e}o (( )
Print name Signature Date
rev. 2 23 2010