3388 Mike Collins Dr - COC4 City of Emil
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: j 3 :� `l t k C.} l i vt
COMPLIANCE WITH INITIAL INSPECTION
h is is to certify that the propetty listed above has been inspected by authorized City personnel on , 201_
and found to be in compliance with Section 3 40 of the City Code and no corrective work was r equired
COMPLIANCE AFTER CORRECIIVE WORK PERFORMED
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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
/SC
Signature
Yellow Copy: City of Eagan (Parcel F ile)
41 City of Evan
0
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 apotential blockage due for
Grease Build-u , Root Intrusion, Dip /Settlerrent in Pipe, Other:
C60 Oik
/ )- /c) f {
Date
rev 2 23. 2010
1