1361 Interlachen Dr - COC41,1 City of Eta!
City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapll
City of Eagan, Property Minneso -,/
Prn er Address: 13l I ' `' �� `� (3 r^
COMPLIANCE WIITI INITIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on / f/, 201_ 0
�`� and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECTIVE Nig ORK 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 corr ective repair work under (check all that apply):
City Numbing Permit
NOTE: Applicable only if box is checked: UBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning of future inspections be performed to minimize apotential blockage due to:
Grease Buildup, Root Intrusion, Dip /Settlement in Pipe, Other.:
City Approved: T�
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel tile)
Date
f
rev 2 23 2010