1392 Interlachen Dr - COCCity of EapIl
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
n City Sanitary Sewer Permit
n City Plumbing Permit
City of Eagan, Minnesota
Property Addr � -�Y� C "v C- �,`
COMPLIANCE WITH INITIAL INSPECIION
his is to certify that the property listed above has been inspected by authorized City personnel on , 2011)
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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):
City ofEtall
NOTE Applicable only if box is checked, l used 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:
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel F Ile)
Date
rev 2 23 2010