3860 Dolomite Dr - COCCity of Eagan
City of Eagan, Minnesota
Property Address: 35 c)O `C Vll+ cjX
COMPLIANCE WITH INITIAL INSPECTION
SANITARY SEWER SYSTEM
CERTIFICATE OF COIVIPLIANCE for
INFLOW & INFILTRATION
his is to certify that the property 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 required.
COMPLIANCE AF TER CORRECIIVE 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):
n City Sanitary Sewer Permit n City Plumbing Permit
NOTE: Applicable only if box is checked.: 1 sed on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perf ed to minimize a potential blockage due, _to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:: �- "
City Approved: rJ \ \V1f\._
Print name
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
Me I � ! aG )
Signature Date
411 City of Evan
rev 2.232010