4065 Olivine Dr - COCCity of Eagan
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan
City of Eagan, Minnesota
Property Address: 40 {nS 0\ V Ir\ e O'; W "`E___.
COMPLIANCE WITH INITIAL INSPECTION
]This is to certify that the property listed above has been inspected by authorized City personnel an 4 d
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF IER CORRECIIVE WORK PERFORMED
1
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):
fl City Sanitary Sewer Permit City Plumbing Permit
White Copy: Property Owner
NOTE Applicable only if box is checked: used on a review of the Sewer Service video inspection /report on file, it is
recommended that perm aning or future inspections be performed to minimize a potential blockage due to:
Grease Build -up, Bo ntrusion )I ip /Settlement in Pipe, Other: C:1 f (vFS
City Approved: ti vin 0 U._ ` /
Print name Signature Date
201
Yellow Copy: City of Eagan (Parcel File) rev 2 . 2.3 2010