851 Wescott Square - COCCity of n a pp
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, _ Minnesota
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Property Address: � \ W) --a CO \
COMPLIANCE WITH INITIAL INSPECTION
—4his is to certify that the property listed above has been inspected by authorized City personnel on q ° , 201 0
and found to be in compliance with Section 3 40 of the City Code and no corr ective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
I I Ibis 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):
• City Approved: 1 fit
Print name
White Copy: Property Owner
City Sanitary Sewer Permit 1 City Plumbing Permit
City of EaRill
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 performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
AA c� 1�J / �� �� ��� �
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2.23 2010