3876 Dolomite Dr - COC4 1 * City of hip
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: 3 '61 L 06
COMPLIANCE WITH INITIAL INSPECTION
s is to certify that the property listed above has been inspected by authorized City personnel on } , 201 1
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE AF IER 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 wank under (check all that apply):
1
City Sanitary Sewer Permit 1 City Plumbing Permit
City Approved: -
Print name
NOTE, . Applicable only if box is checked: Based on a review of the Sewer Service
recommended that per iodic cleaning or future inspections beperf med to minimize a
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other a &S
Signature
White Copy: Property Owner Yellow Copy: City of Eagan (Parcel File)
4 City of Earn
video inspection /report on file, it is
potential blockage due to:
$ ,t ta Es-
- 6 0-t) i 6
Date
rev 2 23 2010