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3917 Blackhawk Rd - COCCity of hp SANITARY SEWER SYSTEM CERTIFICATE OF COMPLIANCE for INFLOW & INFILTRATION 411 City of Evan City of Eagan, Minnesota Property Address: �� 1 1JCi C�Ct ln� P COMPLIANCE WITH INITIAL INSPECTION This is to certify that the property listed above has been inspected by authorized City personnel on - , 201_I 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 1 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): Print name White Copy: Property Owner City Sanitary Sewer Permit ! I City Plumbing Permit NOTE: Applicable only if box is checked: f" -lased on a review of the Sewer Service video inspection /report on file, it is recommended that per iodic cleaning or future inspections beperformed to minimize a potential blockage due to: Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: D-3 _5 D ` City Approved: t vv � � Signature Date Yellow Copy: City of Eagan (Parcel F ile) rev. 2 23 2010