824 Great Oaks Tr - COCCity of Iaall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
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P; opeety Address: c, <- -
COMPLIANCE WITH INITIAL INSPEC ZION
is is to certify that the property listed above has been inspected by authorized City personnel on , 201 (D
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORREC LIVE WORK PERFORMED
1 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):
n City Sanitary Sewer Permit U City Plumbing Permit
White Copy: Property Owner
City Approved: vv, \ C,-.. /
Print name
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Signature Date
City of hp
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:
Yellow Copy: City of Eagan (Parcel File) rev 2.23 2010