1568 Sherwood Way - COCCity ofEaftall
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of kali
City of Eagan, Minnesota
Property Address: / 52 kec
COMPLIANCE WIT INI IIAL INSPEC TION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on � , 201_0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF I ER CORREC IIVE WORK PERFORMED
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):
NOTE: Applicable only if box is checked: 1 )Based on a review of the Sewer Ser vice video inspection /report on file, it is
recommended that per iodic cleaning or future inspections be performed to minimize apotential blockage due to.:
Grease Build-up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved:
n City Sanitary Sewer Permit [ I City Plumbing Permit
White Copy: Property Owner
Print name
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
LAI z.-(
/c)
rev 2 23 2010