3880 Dolomite Dr - COC4 City of Emil
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Emil
City of Eagan, Minnesota
Property Address: 3D I i VL '\ N
COMPLIANCE WITH INITIAL INSPECTION
is to certify that the property listed above has been inspected by authorized City personnel on .3 \ \ , 201 1
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required.
COMPLIANCE AFTER CORRECTIVE WORK PERFORMED
1
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):
City Sanitary Sewer Permit fl 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 pate tia b ocka a due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other„ C 6 t∎ CS
City Approved:
Print name
White Copy: Property Owner
Signature
Yellow Copy: City of Eagan (Parcel F ile)
Date
L4
qg-o 1
Gtr it'
rev 223 2090