3859 Dolomite Dr - COCCity of Eapll
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Ptopetty Address: ?S5 06 \. 0A._ f \
COMPLIANCE WITH INIIIAL INSPECIION
R --This is to certify that the property listed above has been inspected by authorized City personnel on 3 , 201_
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIANCE At IER CORRECTIVE WORK PERFORMED
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 corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit I City Plumbing Permit
NOTE: Applicable only if box is checked: Based on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due for
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other:
City Approved: ` . W. - 1 - t.c.Li / l[ 41D-e i
Print name Signature Date
City of Evan
Yellow Copy: City of Eagan (Parcel File) rev 2 . 23 2010