4624 Pinetree Cur - COCCity of Gall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Eaaall
City of Eagan, Minnesota
Property Address: 4.( - f C l_xYV °e_
COMPLIANCE WITH INITIAL INSPECTION
-This is to certify that the property listed above has been inspected by authorized City personnel on \ — t , 201_L.
and found to be in compliance with Section 3.40 of the City Code and no corr ective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
This is to certify that the property listed above has been found to be m 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 1 City Plumbing Permit
City Approved: 1 Vv\-
Print name
NOTE„ Applicable only if box is checked: nBased 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
Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev 2.23 2010