4801 Shevlin Ct - COCCity of Ea ail
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: L iSt \ \.; i CO L"
COMPLIANCE WIT H INI IIAL INSPECTION
.. _Ihis is to certify that the property listed above has been inspected by authorized City personnel on \ , 201 i�
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 ail that apply):
n City Sanitary Sewer Permit City Plumbing Permit
Print name
White Copy: Property Owner
NOTE:. Applicable only if box is checked.: riBased 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: /trvz
Signature
Yellow Copy: City of Eagan (Parcel File)
City of Evan
Date
rev 2.23 2010