3876 Calcite Dr - COC4 , i ` b City of Ear
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: _3 L 'k Nr '€
COMPLIANCE WITH INITIAL INSPECTION
is is to certify that the property listed above has been inspected by authorized City personnel on a- t , 201_t
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AI TER CORREC TIVP WORK P I+ RP ORMED
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):
n City Sanitary Sewer Permit 1 City Plumbing Permit
NOTE,: Applicable only if box is checked:irrItsed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic.c(eaning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, oot lnir usio Dip /Settlement in Pipe, Other:
City Approved: J 1` \ LA
Print name
White Copy: Property Owner
Signature Date
Yellow Copy: City of Eagan (Parcel File)
City of Eagan
rev 2 23.2010