4651 Pinetree Curve - COC411 City of
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City Approved: 5 7
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel F ile)
City of Ettat'
City of E gan, Minne a
Property Address:
�- (v7 r_r
COMPLIANCE WITH INIIIAL INSPECTION
V .3 . 1 - its is to certify that the property listed above has been inspected by authorized City personnel on / 1 '/ f ! 261
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECIIVE 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 r epair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
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 apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
1 /
Signature Date
rev. 2 23 2010