4751 Cypress Pt - COCCity of Ea ,ail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan
City of Eagan, Minnesota
Property Address: `� �� QC)
COMPLIANCE WIIH INITIAL INSPECTION
,- This is to certify that the property listed above has been inspected by authorized City personnel on l — t , 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):
C City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked 1 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: 1 i/1rt /
Print name Signature
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
Date
rev 2 23 2010