3721 South Hills Lane - COCCity of Ea aii
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Pr operty Addr ess:
1 \ c� � � \A
COMPLIANCE WITH INITIAL INSPEC TION
This is to certify that the property listed above has been inspected by authorized City 4t " U
�-• fY '' p p Y p y �' tY ersonnel on , 201 p
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC TIVE WORK PERFORMED
Ihis 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 Sanitary Sewer Permit fl City Plumbing Permit
NOTE: Applicable only if box is checked: LlBased 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: \'\A-
Print name
White Copy: Property Owner
Signature Date
City of hp
Yellow Copy: City of Eagan (Parcel File) rev 2 23.2010