3355 Mike Collins Dr - COC41 City of Fagan
City Approved: . *Tl. UL-"
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: CO 1t� t v
COMPLIANCE WIIH INITIAL INSPEC HON
❑ This is to certify that the property listed above has been inspected by authorized City personnel on , 200
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AFTER 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 that apply):
City Sanitary Sewer Permit fn City Plumbing Permit
NOTE Applicable only if box is checked.:• FBased 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 blirkage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other, WVG k -
-COO GII\ Y ` E
Signature Date
Yellow Copy: City of Eagan (Parcel File)
41 City of EaRall
rev 2 23 2010