4770 Cypress Pt - COCCity of bpi
City Approved: t . '" - 1;
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
COMPLIANCE WITH INITIAL INSPECTION
c r_This is to certify that the property listed above has been inspected by authorized City personnel on 1/
and found to be in compliance with Section 3. of the City Code and no corrective work was required
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
fl 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):
fl City Sanitary Sewer Permit n City Plumbing Permit
Yellow Copy: City of Eagan (Parcel File)
City of &Eau
l d , 201_C
NOTE' Applicable only if box is checked: Based on a review of the Sewer Ser vice video inspection /report on file, it is
recommended that per iodic cleaning or future inspections he performed to minimize apotential blockage due to:
Grease Build-up, Root Intrusion. Dip /Settlement in Pipe, Other:
2_1 ..
Signature Date
rev 2 .23 2010