3729 Blackhawk Rd - COCCity of Eapu
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eapll
City of Eagan, Minnesota
Property Address: a--9 kos. i; co a.1) }
COMPLIANCE WITH INITIAL INSPECTION
tr This is to certify that the property listed above has been inspected by authorized City personnel on 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AF TER 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 satisfhctorily completing the required corr ective repair work under (check all that apply):
n City Sanitary Sewer Permit
❑ City Plumbing Permit
NOM: Applicable only if box is checked: Based an a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to yninimize a potential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: 4 C Q 1X''Z 4 S ri
City Approved: 1V &� -
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel File)
/Vpiatf)
Date
rev. 2.23 2090