3877 Dolomite Dr - COCCity of Eat ll
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
41 City of Eagan
City of Eagan, Minnesota
Property Address: \v■■ , -e, O'f i `-e -
COMPLIANCE WITH INIIIAL INSPECTION
This is to certify that the property listed above has been inspected by authorized City personnel on a , 201
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AP TER CORRECIIVE WORK PERTORNIED
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 7 City Plumbing Permit
NOTE: Applicable only if box is checked: + 4Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be perfoRned to minimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: VCYLIL. J- 1 4l — 1.0 F
3 1 � "D-C} I
Date
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010