4660 Pilot Knob Rd - COCCity of Ea ail
Il
City Approved: ` AA._ a
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of
Property Address:
agan, Ironer
City Sanitary Sewer Permit fl City Plumbing Permit
S ignature Date
Yellow Copy: City of Eagan (Parcel File)
411 City of kali
, 201CD
COMPLIANCE WITH INITIAL INSPEC IION f
Ihis is to certify that the property listed above has been inspected by authorized City personnel on
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
C 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):
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,
tr-2.qic I 0
rev 2 23 2010