3725 Blackhawk Rd - COC11 City of Evan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: B 1G-(11
City of Eapn
COMPLIANCE WIT H INIIIAL INSPECTION
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 collective work was required.
COMPLIANCE AFIER CORRECIIVE WORK PERFORMED
Ihis 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 collective repair work under (check all that apply):
n City Sanitary Sewer Permit In City Plumbing Permit
NOTE: Applicable only if box is checked: j&ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfumed to minimize a potential blockage due to
Grease Build-up, Root Intrusion Dip /Settlement in Pipe, Other: GT-Cv x'
White Copy: Property Owner
o it R a aq
City Approved: \ v L� -.. Ii �.- ti`1ti°A I f c 1 t i
Print name
Signature Date
Yellow Copy: City of Eagan (Parcel File) rev 2.23.2010