1516 Sherwood Way - COC411 City of F a aii
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Sanitary Sewer Permit 1 1 City Plumbing Permit
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
4 City of Eayll
City of Eagan, Minnesota
Property Address: 1S S �uaOC yl�a&
COMPLIANCE WITH INITIAL INSPECTION
4 J-his is to certify that the property listed above has been inspected by authorized City personnel on , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFIER CORRECTIVE 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):
NOTE Applicable only if box is checked on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfo ed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip/Settlement in Pipe, Other: \� 1 - 11 r9
1/4 4 1
`$ t�c� -
City t �-
tY proved cA
Print name Signature Date
rev 2,23 2010