1360 Grace Dr - COCCity of Eapil
City Approved: �1 1 6/ `'m d Cfi ' /
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Property Address:
City of Eagan, Minnesota
i
COMPLIANCE WITH INITIAL INSPECTION
X Ihis is to certify that the property listed above has been inspected by authorized City personnel on 42 , 201_ 0
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER 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 repair work under (check all that apply):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE, Applicable only if box is checked.: nBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections beperformed to minimize apotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other;
Print name Signature
g nature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel F iie)
41 0 City of E.pil
l 1 ``Z I l io b L
Date
rev 2,