3655 Windtree Ct - COCCity of Eapa
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Evan
City of Eagan, Minnesota
nr aperty Address: C Ly "
COMPLIANCE WI INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on a' , 201_0
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER 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):
n City Sanitary Sewer Permit n City Plumbing Permit
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 be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: 1 VV\-
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2090