1369 Grace Dr - COCCity of Eanao
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: G V O--Cti. ON/ + V - e—
City Sanitary Sewer Permit City Plumbing Permit
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F ile)
4 City of hp
COMPLIANCE WITH INITIAL INSPEC HON
Th is is to certify that the property listed above has been inspected by authorized City personnel on - , 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER 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):
NOTE: Applicable only if'box is checked.: used on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or, facture inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other.:
City Approved: Uv� ii� /1 ! l l ! 6 / O i �3
Print name Signature Date
rev. 2 23.2010