1528 Sherwood Way - COCCit of Ea ll
SANITAR Y S EWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: I S 5 k..e.' U t l OC3 �ci
COMPLIANCE WITH INITIAL INSPECTION
g This is to certify that the property listed above has been inspected by authorized City personnel on 3 CJ , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE 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):
Li City Sanitary Sewer Permit n City Plumbing Permit
White Copy: Property Owner
41 City of Ea pp
NOTE: Applicable only if box is checked.:ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfo,med to minimize a potential blockage due to..
Grease Build-up, Root Intrusion, Dip /Settlement in Pipe, Other, O 'P-A— ^\ r�, - --
1.`Y a - (r.e 3 , (W
f4 G,S�,, T oy, 131 I-
City A P roved: ∎ IA 1-k-ea t 4-1 -- -_ I ': -,. j I �` C l _6--Q 16
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File) rev. 2 2 . 3 2010