1610 Norwood Dr - COCCity of bp
City Approved:
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
COMPLIANCE WITH INITIAL INSPEC IION
'This is to certify that the property listed above has been inspected by authorized City personnel on ////
Print name
City of Eagan, Minnesota
11 wccL Or'v
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
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 corrective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
City of Eapil
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
\"4Zc- I /ft , Jr 1 2145 — j/0
Signature
Yellow Copy: City of Eagan (Parcel File)
Date
,201C)
rev. 2,23.2010