3731 South Hills Way - COCCity of Emil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: b Sb
COMPLIANCE WIIII INITIAL INSPECTION
P r x' Ihis is to certify that the property listed above has been inspected by authorized City personnel on — 1 C, 201_
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 ender (check all that apply):
n City Sanitary Sewer Permit 1 City Plumbing Permit
City of Eag,all
NOTE. Applicable only if box is checked: Based 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: S , F<4.- -
Date
City Approved:
White Copy: Property Owner
Print name Signature
Yellow Copy: City of Eagan (Parcel F ile)
rev 2 23 2010