3641 Windtree Dr - COCCity of Ea all
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Addr 3I
COMPLIANCE WITII 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 AP TER 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 City Plumbing Permit
NOTE: Applicable only if box is checked: aced on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperfoAm ed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other, VOOki is 011
SI B p. i. - 3 4a-
City Approved: t JA
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
City of Eap l
rev 2 23 2010