4300 Nicols Rd - COCCity of E . ail
City Approved: T \ V V
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: ' 1 '3 Co
COMPLIANCE WITH INITIAL INSPECTION
Ihis is to certify that the property listed above has been inspected by authorized City personnel on 1 \ R . , 201
and found to be in compliance with Section :3 40 of the City Code and no corrective work was required
COMPLIANCE AT TER CORRECTIVE WORK PERFORMED
L Ihis 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 n City Plumbing Permit
NOTE: Applicable only if box is checked: 1 Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or fixture inspections beperfo med t minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: y �
a it
Date
Signature
Yellow Copy: City of Eagan (Parcel F ile)
4/ 1fi l City of hp
rev. 2 232010