3635 Blackhawk Rd - COCCity of Eagan
n City Sanitary Sewer Permit
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
C
City Plumbing Permit
City of Ea all
City of Eagan, Minnesota
Property Address: 6 L CLC.J<. O. 0,e
COMPLIANCE WITH INITIAL INSPECTION
-this is to certify that the property listed above has been inspected by authorized City personnel on - t , 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE 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):
NOTE: Applicable only y box is checked .Based on a review of the Sewer Service video inspection /report on file, it is
recommended thatperiodii -e aning or future inspections be performed to minimize apotential blockage due to
ease Buildup, o'ot Intrusi Di ettlement in Pipe, Other: 1
City Approved: I CJ
Signature
Print name
White Copy: Property Owner
Yellow Copy: City of Eagan (Parcel File)
3 l 'D
Date
rev 2.232010