3685 Windtree Dr - COCCity of Emil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Print name Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
City of Eagan t Minnesota
Propetty Address: {oaf w; v
COMPLIANCE WIIH INITIAL INSPECTION
Lois is to certify that the property listed above has been inspected by authorized City personnel on
and found to be in compliance with Section 3 40 of the City Code and no conectiy e work was required
COMPLIANCE AF I ER 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
— , 2 01
NOTE: Applicable only if box is checked: 1 [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, Others
City Approved: / / /D U �3
rev 2,23 2010