4664 Pinetree Curve - COCCity of Eaaall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Ea all
City of Eagan, Minnesota
Property Addt ess: ( 0 ( - L i Q1 Y\ CS—CvAi
COMPLIANCE WITH INITIAL INSPECTION
-- This is to certify that the property listed above has been inspected by authorized City personnel on k \ 'i , 2010
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
n 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 n City Plumbing Permit
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:
City Approved:
Print name
White Copy: Property Owner
v
Signature
Yellow Copy: City of Eagan (Parcel F ile)
/
Date
rev 2.23 2010