1474 Wellington Way - COC4f City of Eagan
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
C
l 7
Yellow Copy: City of Eagan (Parcel F ile)
City of Ea ll
a
COMPLIANCE WITH INITIAL INSPECTION
This is to certify that the property Iisted 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 corr ective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
L 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 ((heck all that apply):
n City Sanitary Sewer Permit 1 ! City Plumbing Permit
NOTE: Applicable only if box is checked, j Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to Minimize a potential blockage due to:
Grease Build --up, Root Intrusion, Dip /Settlement in Pipe, Other:
e l I L I:5110
Print name
Signature Date
rev 2.23.2010