4632 Pinetree Cur - COCCity of Eapll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address;
City Sanitary Sewer Permit fn City Plumbing Permit
41 City of Pamam
City of Eagan, Minnesot
'L i & 32 i �e , v—e
COMPLIANCE WITH INIIIAL INSPECIION •
T X This is to certify that the property listed above has been inspected by authorized City personnel on / / / 6 , 201 CD
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF TER 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 thatapply):
NOTE: Applicable only if box is checked: Based 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:
City Approved:
White Copy: Property Owner
Print name Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
(
rev 2 ,23 2010