1636 Sherwood Way - COC411 City of Eaaan
City Approved. .Y� L
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota t
Property Address: 1, , ��o �a N„-evwood
COMPLIANCE WIIH INITIAL INSPECTION tj
.This is to certify that the property listed above has been inspected by authorized City personnel on t C - 1 S , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORRECTIVE WORK PERFORMED
n Ihis is to certify that the property Iisted 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):
n City Sanitary Sewer Permit
NOT:. 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 Plumbing Permit
Signature
L /
Date
Yellow Copy: City of Eagan (Parcel Fite)
City of Eagan
rev 2 .23 2010