1497 Pinetree Pass - COCCity of EaRall
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 1 (49
/
Print name
Signature
COM LIANCE WITH INITIAL INSPECIION
ti
This is to certify that the property listed above has been inspected by authorized City personnel on 1 f k,.." , 201 C�
and found to be in compliance with Section 3.40 of the City Code and no conective work was required
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
7 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 (check all that apply):
City Sanitary Sewer Permit I City Plumbing 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 or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
Yellow Copy: City of Eagan (Parcel File)
41 City of Evan
5
I / �� /A
Date 111
rev 2.23 2010