1327 St Andrew Blvd - COCCity of pi'
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
132
COMPLIANCE WITH INITIAL INSPEC ZION }
This is to certify that the property listed above has been inspected by authorized City personnel on ` 40 , 201 CD
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):
City Sanitary Sewer Permit
n City Plumbing Permit
City Approved: 3 1 a 04-1- / I l j
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
411 City of Evan
),,,J
NOTE„ 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:
rev 2.23 2010