3870 Dolomite Dr - COC4 City of No
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: . .37C - 1. U u v"\(\,: '0;r
41 City of Evan
COMPLIANCE WIIH INIIIAL, INSPEC IION
This is to certify that the property listed above has been inspected by authorized City personnel on - i L, 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
In 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 corrective repair work under (check all that apply):
n City Sanitary Sewer Permit In City Plumbing Permit
NOTE: Applicable only if box is cheeped: }al 3ased on a review of the Sewer Service video inspection /report on file, it is
recommended that , ' iorlic ing or future inspections be performed to Onimize a potential blockage due to:
Grease Build -up, t oot In fusion, . ►ip/Settlement in Pipe, Other:
City Approved: +1vt I v. i t Q / Qc l kr 5 l 1
Print name Signature Date
Yellow Copy: City of Eagan (Parcel File)
rev 2 23 2010