1511 Pinetree Tr - COCI I
City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnes
57/ to
X l -e '17/Le-- S�r 7 0 /-
COMPLIANCE WITH INITIAL INSPECTION f
X This is to certif. that the property listed above has been inspected by authorized City personnel on / i/6 g 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 WORK PERFORMED
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 r equired corrective repair work under (check all that apply):
n City Sanitary Sewer Permit I I City Plumbing Permit
NOTE: Applicable only if box is checked: tBased 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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved: J i
Print name
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
City of hp
rev 2 23 2010