1311 St Andrew Blvd - COC41 City of Bkau
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
411 City of Eagan
City of Eagan, Minnesota
Property Address:
COMPLIANCE WIIH INITIAL INSPECTION
is is to certify that the property listed above has been inspected by authorized City personnel on 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE Alf TER 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):
n City Sanitary Sewer Permit I 1 City Plumbing Permit
l / /S ,201
NOTE„ Applicable only if box is checked. :1 Based on a review of the Sewer Ser vice 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 Signature Date
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
rev. 2 23 2010